儿童时期的大脑氧化和:根据年龄的差异和两种大脑氧度算法的比较
Yasunori Kubo1, Yusuke Itosu2, Tomonori Kubo2
1Department of Anesthesiology, Hokkaido University Hospital, N14 W5, Kita-ku, Sapporo, 0608648, Japan. hayatokirin@gmail.com.
Journal of clinical monitoring and computing
|February 4, 2024
概括
儿科手术中的区域大脑氧和 (rSO2) 监测显示了与年龄相关的差异. 两个设备,tNIRS-1和INVOS 5100C,在婴儿,幼儿和学龄组中产生了不同的rSO2值.
科学领域:
- 神经科学是一个神经科学.
- 医疗器械 医疗器械
- 儿科手术 儿科手术
背景情况:
- 关于儿童非心脏手术中区域大脑氧和 (rSO2) 监测的数据有限.
- 没有任何研究全面评估了rSO2在广泛的儿科年龄组.
研究的目的:
- 评估和比较不同年龄组的儿科患者的rSO2水平进行非心脏手术.
- 为了研究两个不同的氧度仪器之间的相关性和影响生理因素.
主要方法:
- 七十八名接受非心脏手术的儿童 (婴儿,幼儿,学童) 被录取.
- 区域大脑氧和 (rSO2) 用时间分辨率光谱 (tNIRS-1) 和传统的INVOS 5100C氧计进行测量.
- 分析了不同年龄组rSO2的差异以及与生理因素的相关性.
主要成果:
- 与其他组相比,INVOS 5100C在婴儿中显示出明显较低的rSO2.
- 在幼儿中,tNIRS-1显示的rSO2比其他年龄组高.
- 在设备之间发现了适度的相关性 (r=0.41),INVOS 5100C值高出约20%并表现出天花板效应. 血压影响了INVOS 5100C,而血度影响了tNIRS-1.
结论:
- 在非心脏手术期间的儿科rSO2值因年龄组而异.
- 由于不同的算法,tNIRS-1和INVOS 5100C设备之间的rSO2与年龄相关的差异模式不同.
- 需要进一步的研究才能充分理解儿科患者的大脑氧化监测.
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