脑氧饱和度监测在老年患者中的应用进展.pdfVIP

·11798 · 中华临床医师杂志( 电子版)2013 年12 月第7 卷第24 期 Chin J Clinicians(Electronic Edition),December 15,2013,Vol.7,No.24 ·综述· 脑氧饱和度监测在老年患者中的应用进展 刘珊珊 李恩有 【摘要】 脑氧饱和度监测是目前一种新型无创监测脑氧供需平衡的监测方法。脑氧饱和度的降低与术 后神经并发症的发生有关。老年患者由于自身的储备能量下降，脑氧平衡更容易被打破，脑氧饱和度的实 时监测能够为老年患者围术期提供脑循环监测，有利于麻醉计划的调整，指导术中用药，降低术后神经并 发症的发生。现对脑氧饱和度监测原理及其在老年患者中的应用进展作一综述。 【关键词】 诊断技术和方法； 老年人； 脑氧饱和度 The application of monitoring cerebral oxygen saturation in elderly patients LIU Shan-shan, LI En-you. Department of Anesthesiology, the First Affiliated Hospital of Harbin Medical University, Harbin 150001, China Corresponding author: LI En-you, Email: enyouli@ 【Abstract 】 Cerebral oxygen saturation monitoring is a new kind of noninvasive monitoring method of cerebral oxygen supply and demand balance. Cerebral oxygen saturation reduction associated with postoperative neurological complications. Elderly patients due to their energy reserves decline, cerebral oxygen balance is more likely to be broken, the realtime monitoring of cerebral oxygen saturation is able to provide elderly patients perioperative monitoring cerebral circulation, be helpful for the adjustment of anesthesia plans and guide intraoperative use of drugs, reduce the postoperative neurological complications. In this paper, the principles of cerebral oxygen saturation monitoring progress and its application in elderly patients is reviewed. 【Key words 】 Monitoring, physiologic; Aged; Cerebral oxygen saturation 随着年龄的增长，老年人全身器官功能逐步减退，组织细 势，近红外光谱范围在氧合血红蛋白和还原血红蛋白之间还具 胞代谢缓慢，生理储备减弱，且其脑氧平衡易被打破，因此老 有典型的光谱差异。利用区域氧饱和的自然特性，NIRS 的功能 年患者更容易发生术后神经系统并发症[1-2] 如下：一个光源发射近红外光，发射光通过探头直接进入易感 。 脑氧饱和度监测是近年来出现的新型无创的监测脑氧平衡 组织。两个分开放