动态监测脑血流及脑氧饱和度对沙滩椅位肩关节镜手术后缺血性脑损伤的影响

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Abstract Objective To investigate the clinical effect of dynamic monitoring of cerebral blood flow and cerebral oxygen saturation on prevention of ischemic brain injury after arthroscopic surgery of beach chair shoulder. Methods From May 2014 to August 2016, 48 cases of undergoing arthroscopic shoulder surgery patients was selected in Shenzhen Second People′s Hospital. According to the simple random method they were divided into control group and observation group, with 24 cases in each group. The blood pressure and oxygen saturation were monitored during the operation in the control group and monitoring of cerebral blood pressure and cerebral oxygen saturation in the observation group was carried out. The operation situation, ULCA score 7 d after operation, blood pressure and blood oxygen saturation, and MMSE score were compared between two groups. Results There was no significant difference between the two groups in operation time, intraoperative blood loss, postoperative drainage volume and postoperative extubation time (P > 0.05). In the observation group, the excellent and good rate of ULCA score (87.50%) at 7 d after operation was not significantly different from that of the control group (91.67%) (P > 0.05). The postoperative blood pressure and blood oxygen saturation of patients in the two groups were decreased, the differences were statistically significant (P < 0.05). The postoperative blood pressure and blood oxygen saturation of patients in the observation group were higher than those in the control group, the differences were statistically significant (P < 0.05). The postoperative MMSE scores of patients in the two groups were decreased, but the MMSE score of the observation group was significantly higher than that of the control group, the difference was statistically significant (P < 0.05). Conclusion The dynamic detection of cerebral blood flow and cerebral oxygen saturation can effectively reduce the risk of ischemic brain injury and improve the recovery of patients after undergoing arthroscopic surgery.

Key words： Cerebral blood flow Cerebral oxygen saturation Beach chair Shoulder arthroscopy Ischemic brain injury

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	CHEN Jingxia ZHAO Zhao

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CHEN Jingxia ZHAO Zhao. Clinical study of dynamic monitoring of cerebral blood flow and cerebral oxygen saturation in prevention of ischemic brain injury after arthroscopic surgery of beach chair shoulder[J]. 中国医药导报, 2018, 15(4): 82-85.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2018/V15/I4/82

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