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在出生后即时过渡期间新生儿大脑氧化的参考范围:设备之间的差异

Nariae Baik-Schneditz^1,2,3, Daniel Pfurtscheller^1,2,3, Christina H Wolfsberger^1,2,3

¹Division of Neonatology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria.

Acta paediatrica (Oslo, Norway : 1992)

|January 17, 2025

概括

这项研究确定了新生儿在出生后的头15分钟内脑氧和 (crSO2-ROOT) 的参考范围. 对于临床应用而言,意识到脑氧和度测量的设备特异性差异至关重要.

科学领域:

新生儿生理学新生儿生理学
医疗器械医疗器械医疗器械医疗器械
临床监测临床监测

背景情况:

在新生儿过渡期间,大脑氧和 (crSO2-ROOT) 监测至关重要.
现有的crSO2-ROOT参考范围因所使用的近红外光谱 (NIRS) 装置而异.
为了准确的临床解释,需要标准化的参考范围.

研究的目的:

在出生后立即过渡期间,在稳定的新生儿中定义大脑氧和 (crSO2-ROOT) 的参考范围.
用特定的NIRS设备获得的crSO2-ROOT值与其他设备的现有范围进行比较.
突出在临床实践中特定于设备的参考范围的重要性.

主要方法:

一项前性观察性研究,包括在新生儿出生后的头15分钟内持续测量crSO2-ROOT.
计算每分钟crSO2-ROOT的中位数值和第10/90个百分点.
将crSO2-ROOT数据与crSO2-INVOS和cTOI-NIRO设备的已发布范围进行比较.

主要成果:

分析了122名新生儿 (14名早产,108名终产) 的数据.
crSO2-ROOT值显示出与cTOI-NIRO测量结果相似的趋势.
最初crSO2-INVOS值较低,但在出生后的头几分钟内超过crSO2-ROOT值.

结论:

该研究提供了crSO2-ROOT在出生后立即稳定的新生儿中的新参考范围.
各种NIRS设备生成的参考范围之间存在显著差异.
临床医生必须了解这些特定于设备的变化,以便适当地使用crSO2-ROOT数据.

关键词:

大脑监测监测大脑监测大脑氧气和度的大脑氧气和度近红外光谱学近红外光谱学新生儿过渡的新生儿过渡参考范围范围的参考范围范围.

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