近红外光谱技术在颅脑损伤监护中的临床应用
Clinical Application of Near-Infrared Spectroscopy (NIRS) in Neurocritical Care of Patients with Brain Injury
摘要: 继发性颅脑损伤引发的水肿、缺血、血管痉挛等会引起颅内压升高、脑血流量下降，最终导致脑组织缺氧以及不良预后，积极有效的脑氧饱和度监测有助于降低病死率及改善预后。近红外光谱技术是一项能够无创实时反映脑组织氧合的新兴技术，利用近红外光原理反映出脑组织氧供和氧耗平衡信息。本文就近红外光谱技术在颅脑损伤患者中的研究进展进行综述。
Abstract: Cerebral edema, ischemia and vasospasm caused by secondary brain injury can lead to increased intracranial pressure and decreased cerebral blood flow, leading to cerebral tissue hypoxia and poor prognosis. Active and effective cerebral oxygen saturation monitoring can help reduce the mortality rate and improve prognosis. Near-infrared spectroscopy is an emerging technology that can reflect the oxygenation of brain tissues non-invasively and continuously, reflecting the balance of oxygen supply and oxygen consumption in brain tissues. This article reviews the progress of near-infrared spectroscopy in patients with brain injury.
文章引用：王宸浩, 许峰. 近红外光谱技术在颅脑损伤监护中的临床应用[J]. 临床医学进展, 2023, 13(2): 2059-2064. https://doi.org/10.12677/ACM.2023.132287

参考文献

[1] Lazaridis, C., Rusin, C.G. and Robertson, C.S. (2019) Secondary Brain Injury: Predicting and Preventing Insults. Neu-ropharmacology, 145, 145-152. [Google Scholar] [CrossRef] [PubMed]
[2] Veenith, T.V., Carter, E.L., Geeraerts, T., et al. (2016) Pathophysiologic Mechanisms of Cerebral Ischemia and Diffusion Hypoxia in Traumatic Brain Injury. JAMA Neurology, 73, 542-550. [Google Scholar] [CrossRef] [PubMed]
[3] Roldán, M. and Kyriacou, P.A. (2021) Near-Infrared Spectros-copy (NIRS) in Traumatic Brain Injury (TBI). Sensors, 21, Article No. 1586. [Google Scholar] [CrossRef] [PubMed]
[4] Stein, S.C., Georgoff, P., Meghan, S., Mirza, K.L. and El Falaky, O.M. (2010) Relationship of Aggressive Monitoring and Treatment to Improved Outcomes in Severe Traumatic Brain Injury. Journal of Neurosurgery, 112, 1105-1112. [Google Scholar] [CrossRef] 
[5] Jobsis, F.F. (1977) Noninvasive, Infrared Monitoring of Cerebral and Myocardial Oxygen Sufficiency and Circulatory Parameters. Science, 198, 1264-1267. [Google Scholar] [CrossRef] [PubMed]
[6] Ghanayem, N.S. and Hoffman, G.M. (2016) Near Infrared Spectros-copy as a Hemodynamic Monitor in Critical Illness. Pediatric Critical Care Medicine, 17, S201-S206. [Google Scholar] [CrossRef] 
[7] Sørensen, H. (2016) Near Infrared Spectroscopy Evaluated Cerebral Oxygenation during Anesthesia. Danish Medical Journal, 63, Article No. B5318.
[8] Mathieu, F., Khellaf, A., Ku, J.C., et al. (2020) Continuous Near-Infrared Spectroscopy Monitoring in Adult Traumatic Brain Injury: A Systematic Review. Journal of Neurosurgical Anesthesiology, 32, 288-299. [Google Scholar] [CrossRef] 
[9] Misra, M., Stark, J., Dujovny, M., Widman, R. and Aus-man, J. (1998) Transcranial Cerebral Oximetry in Random Normal Subjects. Neurological Research, 20, 137-141. [Google Scholar] [CrossRef] [PubMed]
[10] Li, H.Y., Liu, X.W. and Zhao, J. (2017) Clinical Applica-tion and Development of Near-infrared Spectroscopy for Monitoring Regional Cerebral Oxygen Saturation. Acta Aca-demiae Medicinae Sinicae, 39, 846-850. (In Chinese)
[11] Kirkman, M.A. and Smith, M. (2016) Brain Oxygenation Monitoring. Anesthesiology Clinics, 34, 537-556. [Google Scholar] [CrossRef] [PubMed]
[12] Vretzakis, G., Georgopoulou, S., Stamoulis, K., et al. (2014) Cerebral Oximetry in Cardiac Anesthesia. Journal of Thoracic Disease, 6, S60-S69.
[13] Yoshitani, K., Kawaguchi, M., Ishida, K., et al. (2019) Guidelines for the Use of Cerebral Oximetry by Near-Infrared Spectroscopy in Cardiovascular Anesthesia: A Report by the Cerebrospinal Division of the Academic Committee of the Japanese Society of Cardiovas-cular Anesthesiologists (JSCVA). Journal of Anesthesia, 33, 167-196. [Google Scholar] [CrossRef] [PubMed]
[14] Bhardwaj, A., Bhagat, H. and Grover, V.K. (2015) Jugular Ve-nous Oximetry. Journal of Neuroanaesthesiology and Critical Care, 2, 225-231. [Google Scholar] [CrossRef] 
[15] Schell, R.M. and Cole, D.J. (2000) Cerebral Monitoring: Jugular Venous Oximetry. Anesthesia & Analgesia, 90, 559-566. [Google Scholar] [CrossRef] [PubMed]
[16] Cormio, M., Valadka, A.B. and Robertson, C.S. (1999) Elevated Jugular Venous Oxygen Saturation after Severe Head Injury. Journal of Neurosurgery, 90, 9-15. [Google Scholar] [CrossRef] [PubMed]
[17] Macmillan, C.S. and Andrews, P.J. (2000) Cerebrovenous Oxy-gen Saturation Monitoring: Practical Considerations and Clinical Relevance. Intensive Care Medicine, 26, 1028-1036. [Google Scholar] [CrossRef] [PubMed]
[18] Martini, R.P., Deem, S. and Treggiari, M.M. (2013) Targeting Brain Tissue Oxygenation in Traumatic Brain Injury. Respiratory Care, 58, 162-172. [Google Scholar] [CrossRef] [PubMed]
[19] Purins, K., Enblad, P., Sandhagen, B. and Lewén, A. (2010) Brain Tissue Oxygen Monitoring: A Study of in Vitro Accuracy and Stability of Neurovent-PTO and Licox Sensors. Acta Neurochirurgica, 152, 681-688. [Google Scholar] [CrossRef] [PubMed]
[20] Johnston, A.J., Steiner, L.A., Coles, J.P., et al. (2005) Effect of Cerebral Perfusion Pressure Augmentation on Regional Oxygenation and Metabolism after Head Injury. Critical Care Medicine, 33, 189-195. [Google Scholar] [CrossRef] 
[21] van den Brink, W.A., van Santbrink, H., Steyerberg, E.W., et al. (2000) Brain Oxygen Tension in Severe Head Injury. Neurosurgery, 46, 868878. [Google Scholar] [CrossRef] 
[22] Le Roux, P.D. and Oddo, M. (2013) Parenchymal Brain Oxygen Monitoring in the Neurocritical Care Unit. Neurosurgery Clinics of North America, 24, 427-439. [Google Scholar] [CrossRef] [PubMed]
[23] Tateishi, A., Maekawa, T., Soejima, Y., et al. (1995) Qualitative Comparison of Carbon Dioxide-Induced Change in Cerebral Near-Infrared Spectroscopy versus Jugular Venous Oxygen Saturation in Adults with Acute Brain Disease. Critical Care Medicine, 23, 1734-1738. [Google Scholar] [CrossRef] [PubMed]
[24] McLeod, A.D., Igielman, F., Elwell, C., et al. (2003) Measuring Cerebral Oxygenation during Normobaric Hyperoxia: A Comparison of Tissue Microprobes, Near-Infrared Spectroscopy, and Jugular Venous Oximetry in Head Injury. Anesthesia & Analgesia, 97, 851-856. [Google Scholar] [CrossRef] 
[25] Kirkpatrick, P.J., Smielewski, P., Czosnyka, M., et al. (1995) Near-Infrared Spectroscopy Use in Patients with Head Injury. Journal of Neurosurgery, 83, 963-970. [Google Scholar] [CrossRef] [PubMed]
[26] Leal-Noval, S.R., Cayuela, A., Arellano-Orden, V., et al. (2010) Invasive and Noninvasive Assessment of Cerebral Oxygenation in Patients with Severe Traumatic Brain Injury. Intensive Care Medicine, 36, 1309-1317. [Google Scholar] [CrossRef] [PubMed]
[27] Brawanski, A., Faltermeier, R., Rothoerl, R.D., et al. (20022) Comparison of Near-Infrared Spectroscopy and Tissue Po2 Time Series in Patients after Severe Head Injury and Aneu-rysmal Subarachnoid Hemorrhage. Journal of Cerebral Blood Flow & Metabolism, 22, 605-611. [Google Scholar] [CrossRef] [PubMed]
[28] Davies, D.J., Clancy, M., Dehghani, H., et al. (2019) Cerebral Oxygenation in Traumatic Brain Injury: Can a Non-Inva- sive Frequency Domain Near-Infrared Spectroscopy Device Detect Changes in Brain Tissue Oxygen Tension as Well as the Established Invasive Monitor? Journal of Neuro-trauma, 36, 1175-1183. [Google Scholar] [CrossRef] [PubMed]
[29] Ter Minassian, A., Poirier, N., Pierrot, M., et al. (1999) Correlation between Cerebral Oxygen Saturation Measured by Near-Infrared Spectroscopy and Jugular Oxy-gen Saturation in Patients with Severe Closed Head Injury. Anesthesiology, 91, 985-990. [Google Scholar] [CrossRef] [PubMed]
[30] Kampfl, A., Pfausler, B., Denchev, D., Jaring, H.P. and Schmutzhard, E. (1997) Near Infrared Spectroscopy (NIRS) in Patients with Severe Brain Injury and Elevated Intracrani-al Pressure. In: James, H.E., et al., Eds., Brain Edema X. Acta Neurochirurgica Supplements, Vol. 70, Springer, Vienna, 112-114. [Google Scholar] [CrossRef] [PubMed]
[31] Dunham, C.M., Sosnowski, C., Porter, J.M., et al. (2002) Correlation of Noninvasive Cerebral Oximetry with Cerebral Perfusion in the Severe Head Injured Patient: A Pilot Study. The Journal of Trauma: Injury, Infection, and Critical Care, 52, 40-46. [Google Scholar] [CrossRef] [PubMed]
[32] Davie, S., Mutch, W., Monterola, M., Fidler, K. and Funk, D.J. et al. (2021) The Incidence and Magnitude of Cerebral Desaturation in Traumatic Brain Injury: An Observa-tional Cohort Study. Journal of Neurosurgical Anesthesiology, 33, 258-262.
[33] Taussky, P., O’Neal, B., Daugherty, W.P., et al. (2012) Validation of Frontal Near-Infrared Spectroscopy as Noninvasive Bedside Monitoring for Regional Cerebral Blood Flow in Brain-Injured Patients. Neurosurgical Focus, 32, Article No. E2. [Google Scholar] [CrossRef] 
[34] Vilke, A., Bilskiene, D., Saferis, V., et al. (2014) Predictive Value of Early Near-Infrared Spectroscopy Monitoring of Patients with Traumatic Brain Injury. Medicina, 50, 263-268. [Google Scholar] [CrossRef] [PubMed]
[35] Jacob, M., Kale, M.N. and Hasnain, S. (2019) Correlation be-tween Cerebral Co-Oximetry (rSO2) and Outcomes in Traumatic Brain Injury Cases: A Prospective, Observational Study. Medical Journal Armed Forces India, 75, 190-196. [Google Scholar] [CrossRef] [PubMed]
[36] Rivera-Lara, L., Geocadin, R., Zorrilla-Vaca, A., et al. (2020) Near-Infrared Spectroscopy-Derived Cerebral Autoregulation Indices Independently Predict Clinical Outcome in Acutely Ill Comatose Patients. Journal of Neurosurgical Anesthesiology, 32, 234-241. [Google Scholar] [CrossRef] 
[37] Durnev, V., Filipce, V., Brzanov, A.G., et al. (2017) Cere-bral Oxygenation Non Invasive Monitoring in Traumatic Brain Injury—А Pilot Study. Macedonian Medical Review, 71, 113-118. [Google Scholar] [CrossRef] 

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