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<article xsi:noNamespaceSchemaLocation="http://jats.nlm.nih.gov/publishing/1.1/xsd/JATS-journalpublishing1-mathml3.xsd" dtd-version="1.1" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"><front><journal-meta><journal-id journal-id-type="publisher-id">MRP</journal-id><journal-title-group><journal-title>Medical Research and Practice</journal-title></journal-title-group><issn>2993-9690</issn><eissn>2993-9704</eissn><publisher><publisher-name>Art and Design</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.61369/MRP.2025060029</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title>经颅多普勒超声在围术期脑保护中的应用</title><url>https://artdesignp.com/journal/MRP/3/6/10.61369/MRP.2025060029</url><author>王芝君,苏涛</author><pub-date pub-type="publication-year"><year>2025</year></pub-date><volume>3</volume><issue>6</issue><history><date date-type="pub"><published-time>2025-06-20</published-time></date></history><abstract>围术期脑部并发症是影响患者术后恢复及长期预后的重要因素，亟需有效的监测手段以优化脑保护策略。近年来，经颅多普勒超声(TCD)逐渐成为围术期脑血流监测的重要工具，其优势是无创性、实时性和高性价比。TCD可通过评估脑血流速度、自动调节功能及微栓子信号，为麻醉管理和手术操作提供动态数据支持，从而降低术后谵妄、认知功能障碍等风险。本文系统综述TCD在围术期脑保护中的最新应用进展，并探讨其临床价值与局限性。</abstract><keywords>经颅多普勒超声,血流动力学,围术期管理,脑保护</keywords></article-meta></front><body/><back><ref-list><ref id="B1" content-type="article"><label>1</label><element-citation publication-type="journal"><p>[1]Razumovsky,AY,Jahangiri,FR,Balzer,J,et al. ASNM and ASN joint guidelines for transcranial Doppler ultrasonic monitoring: An update. J NEUROIMAGI&amp;nbsp;NG.2022;32(5):781-797.&amp;nbsp;[2]Svedung Wettervik, T, Beqiri, E, H&amp;aring;nell, A, et al. Visualization of Cerebral Pressure Autoregulatory Insults in Traumatic Brain Injury. CRIT CARE MED. 2024; 52 (8):&amp;nbsp;1228-1238. &amp;nbsp;[3]ONO M, BRADY K, EASLEY R B, et al. Duration and magnitude of blood pressure below cerebral autoregulation threshold during cardiopulmonary bypass is associated&amp;nbsp;with major morbidity and operative mortality[J/OL]. The Journal of Thoracic and Cardiovascular Surgery, 2014, 147(1): 483-489.&amp;nbsp;[4]Sharma, P, Muthuchellappan, R, Bharadwaj, S, et al. Carbon dioxide induced cerebral vasomotor reactivity in moderate-to-severe cerebral venous thrombosis patients&amp;nbsp;and its impact on prognosis: A transcranial doppler-based prospective exploratory study. J CLIN NEUROSCI. 2024; 128 110779. &amp;nbsp;[5]de Moraes, FM, Adissy, ENB, Rocha, E, et al. Multimodal monitoring intracranial pressure by invasive and noninvasive means. Sci Rep. 2023; 13 (1): 18404.&amp;nbsp;[6]武春桃,邢英琦,白晶.经颅多普勒超声在颈动脉内膜切除术围术期的应用[J].中国卒中杂志,2014,9(03):198-203.&amp;nbsp;[7]Costa, M, Schmitt, P, N, J, et al. Transcranial Doppler emboli monitoring for stroke prevention after flow diverting stents. J Cerebrovasc Endovasc Neurosurg. 2023; 26 (1):&amp;nbsp;23-29. &amp;nbsp;&amp;nbsp;[8]Kilgore, CB, Ran, KR, Kalluri, AL, et al. Perioperative Infection After Aneurysmal Subarachnoid Hemorrhage: Risk Factors, Causative Pathogens, and Long-Term Outcomes. NEUROSURGERY. 2023; 94 (2): 325-333.&amp;nbsp;[9]Ding, P, Chen, F, Qi, J, et al. Perioperative Brain Injury in Children with Aortic Arch Anomalies: A Retrospective Study of Risk Factors and Outcomes. PEDIATR CARDIOL. 2023; 45 (8): 1659-1667. .&amp;nbsp;[10]SCHRAAG S. Combined Monitoring&amp;mdash;Brain Function Monitoring and Cerebral Oximetry[J/OL]. Journal of Cardiothoracic and Vascular Anesthesia, 2019, 33: S53-S57.&amp;nbsp;</p><pub-id pub-id-type="doi"/></element-citation></ref></ref-list></back></article>
