Application of Dynamic Monitoring of Regional Cerebral Oxygen Saturation for Severe Traumatic Brain Injury
- VernacularTitle:重度脑外伤后动态监测局部脑氧饱和度的临床意义
- Author:
Wei-xin LU
1
;
Bo-ru HOU
1
;
Deng-feng WANG
1
;
Gang WANG
1
;
Ruo-bing BAI
1
;
Gui-zhong YAN
1
;
Dong WANG
1
;
Rui-hao LI
1
;
Xin XUE
1
;
Hai-jun REN
1
Author Information
- Publication Type:Research Article
- Keywords: traumatic brain injury; near-infrared spectroscopy; regional cerebral oxygen saturation; intracranial pressure; cerebral perfusion pressure; coma
- From: Chinese Journal of Rehabilitation Theory and Practice 2020;26(1):106-109
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the value of clinical monitoring of regional cerebral oxygen saturation (SctO2) for severe traumatic brain injury (sTBI). Methods:From December, 2017 to January, 2019, 33 patients with sTBI within 24 hours were monitored SctO2, intracranial pressure (ICP) and cerebral perfusion pressure (CPP) with near-infrared spectroscopyonce per six hours for seven days. They were assessed with Glasgow Coma Score (GCS) at admission and Glasgow Outcome Score (GOS) six months after injury. Results:SctO2 was the lowest on the third day of monitoring, and then increased gradually. SctO2 negatevely correlated with ICP (
r < -0.857,P < 0.001), and positively correlated with GCS, CPP and GOS (r > 0.697,P < 0.05). Conclusion:SctO2 monitoring is valuable after sTBI to identify the secondary injuries and severity of injuries, and predict the outcome partly.
