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Medical Diagnosis 2025
非侵入性多模态监测在神经重症监护中的应用：近期进展与临床实践综述
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Abstract:
本综述阐述了非侵入性多模态监测(Multimodality Monitoring, MMM)在神经重症患者中的应用进展。随着医疗技术的发展，非侵入性MMM已成为神经重症监护中不可或缺的工具，它通过整合脑氧合、脑代谢、脑血流等多个参数，为重型急性颅脑损伤患者的治疗提供全面支持。研究内容包括非侵入性MMM的理论框架、临床实践、发展前景以及应用过程中可能遇到的问题。文章预期明确非侵入性MMM在急性重症颅脑损伤患者治疗中的重要性，探讨其在提升患者生存率和生活质量方面的贡献，并提出解决方案以保障监测技术的高效和可信。通过全面评估，文章旨在为重症医学科(Intensive Care Unit, ICU)及相关医疗人员提供实践指导和参考信息，以优化神经重症患者的治疗和管理。
This review discusses the advancements in the application of noninvasive multimodality monitoring (MMM) in neurocritical care patients. With the evolution of medical technology, noninvasive MMM has become an indispensable tool in neurocritical care, providing comprehensive support for the treatment of patients with severe acute brain injuries by integrating multiple parameters such as cerebral oxygenation, brain metabolism, and cerebral blood flow. The study includes the theoretical framework, clinical practice, future development prospects, and potential issues encountered during the application of noninvasive MMM. This article aims to clarify the importance of noninvasive MMM in the treatment of patients with acute severe brain injuries, explore its contribution to improving patient survival rates and quality of life, and propose solutions to ensure the efficiency and reliability of monitoring technology. Through a comprehensive assessment, this paper intends to provide practical guidance and reference information for ICU and related medical staff to optimize the treatment and management of neurocritical care patients.
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