在接受胸部手术的患者中,对外周血液和度与大脑氧化度进行比较
Bartosz Kubisa1, Anna Lesińska2, Krzysztof Safranow3
1Department of Thoracic Surgery and Transplantation, Pomeranian Medical University, Szczecin, Poland.
概括
近红外光谱 (NIRS) 可以在胸部手术期间监测大脑氧化 (BO). 术后的BO水平可能无法恢复到基线,与外周血液和 (SpO2) 不同,这表明NIRS的实用性.
科学领域:
- 麻醉学 麻醉学
- 神经外科 神经外科
- 临界护理医学 临界护理医学
背景情况:
- 近红外光谱学 (NIRS) 提供非侵入性的区域组织氧化度测量.
- 使用NIRS进行脑氧化 (BO) 的手术内监测可能有助于检测大脑脱.
研究的目的:
- 为了比较周围血液和度 (SpO2) 与BO测量.
- 评估BO监测在胸部外科手术中的临床效用.
主要方法:
- 100名接受胸部手术的患者每15分钟同时进行BO和SpO2测量.
- 统计分析包括曼-惠特尼U测试和斯皮尔曼的等级相关系数.
主要成果:
- 在患者年龄和初始BO之间观察到负相关性.
- 在90分钟内,BO和SpO2显示出正相关性,此后BO保持在低水平,而SpO2则恢复正常.
- 左侧的手术与较高的最低 SpO2 值有关.
结论:
- 在胸部手术结束时,大脑氧化率 (BO) 可能不会恢复到基线,与SpO2.2不同.
- BO和SpO2都与手术持续时间负相关.
- 在手术90分钟后,SPO2可能不再准确地反映大脑的氧化量.
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