功能性近红外光谱在急危重症患者护理中的应用进展

doi:10.3761/j.issn.2096-7446.2026.07.009

中华急危重症护理杂志 ›› 2026, Vol. 7 ›› Issue (7): 836-840.doi: 10.3761/j.issn.2096-7446.2026.07.009

• 急危重症疼痛管理专题 • 上一篇下一篇

功能性近红外光谱在急危重症患者护理中的应用进展

杨莉¹(), 徐晓滨², 王华芬¹^,^*()

¹ 浙江大学医学院附属第一医院护理部杭州市 310000
² 浙江大学医学院脑科学与脑医学学院杭州市 310000

收稿日期:2025-12-10 出版日期:2026-07-10 发布日期:2026-07-01
通讯作者: *王华芬，E-mail：2185015@zju.edu.cn
作者简介:杨莉：女，硕士，主管护师，E-mail：450801658@qq.com
作者贡献声明
杨莉：文献检索、论文撰写与修改；徐晓滨：技术指导、论文审阅与修改；王华芬：研究指导、论文内容修改与审定
基金资助:
浙江省医院协会可持续发展扬子江重点项目(2025ZHA-YZJ102)

Application progress of functional near-infrared spectroscopy in critical care nursing

YANG Li¹(), XU Xiaobin², WANG Huafen¹^,^*()

¹ Department of Nursing， the First Affiliated Hospital of Zhejiang University School of Medicine， Hangzhou 310000， China
² School of Brain Science and Brain Medicine， Zhejiang University School of Medicine， Hangzhou 310000， China

Received:2025-12-10 Online:2026-07-10 Published:2026-07-01
Contact: *WANG Huafen，E-mail：2185015@zju.edu.cn
Supported by:
Yangtze River Key Project for Sustainable Development of Zhejiang Hospital Association(2025ZHA-YZJ102)

摘要/Abstract

摘要：

功能性近红外光谱是一种无创、便携的脑功能成像技术，通过监测大脑皮层血氧变化间接反映神经活动。该文综述了功能性近红外光谱技术在急危重症患者护理中的应用进展，包括危重新生儿的感官刺激与疼痛评估、意识障碍患者的隐匿意识识别与风险预警、脑卒中患者的康复进程监测与训练方案优化，以及特殊人群的谵妄与跌倒风险预警等。功能性近红外光谱技术为护理评估提供了客观工具，为护理干预提供了精准依据，有助于推动急危重症护理从经验型向数据驱动型转变。但其临床实践仍面临数据解读复杂、设备标准化不足、护士培训缺乏等挑战，未来需着力开发护理专用设备、建立标准化操作流程、加强多学科协作，并探索其在急危重症护理中的最佳实践模式。

关键词: 近红外光谱, 危重病护理, 护理评估, 护理干预, 综述文献专题

Abstract:

Functional near-infrared spectroscopy（fNIRS） is a non-invasive，portable functional brain imaging technique that indirectly reflects neural activity by monitoring cortical blood oxygenation changes. This review summarizes the application progress of fNIRS in critical care nursing，including sensory stimulation and pain assessment in critically ill neonates，covert consciousness detection and risk warning in patients with disorders of consciousness，rehabilitation monitoring and training program optimization in stroke patients，as well as delirium and fall risk warning for special populations. fNIRS provides an objective tool for nursing assessment and an accurate basis for nursing interventions，facilitating the transformation of critical care from experience-based to data-driven practice. However，its clinical application still faces challenges such as complex data interpretation，insufficient equipment standardization，and insufficient training for nurses. Future efforts should focus on developing nursing-specific devices，establishing standardized operating procedures，strengthening multidisciplinary collaboration，and exploring the optimal practice models of fNIRS in critical care nursing.

Key words: Near Infrared Spectrum Instrument, Critical Care Nursing, Nursing Assessment, Nursing Intervention, Review Literature as Topic

杨莉, 徐晓滨, 王华芬. 功能性近红外光谱在急危重症患者护理中的应用进展[J]. 中华急危重症护理杂志, 2026, 7(7): 836-840.

YANG Li, XU Xiaobin, WANG Huafen. Application progress of functional near-infrared spectroscopy in critical care nursing[J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(7): 836-840.

参考文献 24

[1]	Rahman MA, Siddik AB, Ghosh TK, et al. A narrative review on clinical applications of fNIRS[J]. J Digit Imaging, 2020, 33(5):1167-1184. doi: 10.1007/s10278-020-00387-1
[2]	Zinos A, Wagner JC, Beardsley SA, et al. Spatial correspondence of cortical activity measured with whole head fNIRS and fMRI:Toward clinical use within subject[J]. Neuroimage, 2024, 290:120569.
[3]	黄婷, 郑剑煌, 林春燕. 感官刺激对早产儿神经发育影响的研究进展[J]. 中华护理杂志, 2023, 58(12):1456-1462. doi: 10.3761/j.issn.0254-1769.2023.12.007
	Huang T, Zheng JH, Lin CY. Research progress on the effects of sensory stimulation on neurodevelopment in preterm infants[J]. Chin J Nurs, 2023, 58(12):1456-1462.
[4]	Ren HR, Zou LY, Wang LS, et al. Evaluation of the short-term music therapy on brain functions of preterm infants using functional near-Infrared spectroscopy[J]. Front Neurol, 2021, 12:649340.
[5]	Bembich S, Castelpietra E, Cont G, et al. Cortical activation and oxygen perfusion in preterm newborns during kangaroo mother care:a pilot study[J]. Acta Paediatr, 2023, 112(5):942-950. doi: 10.1111/apa.v112.5
[6]	Frie J, Bartocci M, Kuhn P. Neonatal cortical perceptions of maternal breast odours:a fNIRS study[J]. Acta Paediatr, 2020, 109(7):1330-1337. doi: 10.1111/apa.v109.7
[7]	林思雅, 李漓, 任许艳. 新生儿术后疼痛评估工具的应用进展[J]. 中华急危重症护理杂志, 2022, 3(4):376-380.
	Lin SY, Li L, Ren XY. Application progress of pain assessment tools for neonates after surgery[J]. Chin J Emerg Crit Care Nurs, 2022, 3(4):376-380.
[8]	Yuan I, Nelson O, Barr GA, et al. Functional near-infrared spectroscopy to assess pain in neonatal circumcisions[J]. Paediatr Anaesth, 2022, 32(3):404-412. doi: 10.1111/pan.v32.3
[9]	Dix LML, Shepherd K, Polglase GR, et al. The cerebral hemodynamic response to pain in preterm infants with fetal growth restriction[J]. Front Pediatr, 2020, 8:268. doi: 10.3389/fped.2020.00268 pmid: 32537447
[10]	李节惠, 李冬霞, 周静, 等. 功能性近红外光谱成像技术在意识障碍评估中的应用研究进展[J]. 中华神经医学杂志, 2023, 22(6):618-622.
	Li JH, Li DX, Zhou J, et al. Research progress on the application of functional near-infrared spectroscopy in the assessment of disorders of consciousness[J]. Chin J Neuromed, 2023, 22(6):618-622.
[11]	Wang Y, Zeng WT, Zou LY, et al. Detecting cognitive motor dissociation by functional near-infrared spectroscopy[J]. Front Neurol, 2025, 16:1532804.
[12]	Bicciato G, Narula G, Brandi G, et al. Functional NIRS to detect covert consciousness in neurocritical patients[J]. Clin Neurophysiol, 2022, 144:72-82. doi: 10.1016/j.clinph.2022.10.002 pmid: 36306692
[13]	Fujii W, Kanamori D, Nagata C, et al. Does oral care contribute to brain activation? One case of functional near-infrared spectroscopy study in patients with a persistent disturbance of consciousness[J]. Clin Case Rep, 2014, 2(4):143-146. doi: 10.1002/ccr3.81
[14]	Peng H, Ge QQ, Xu TS, et al. Repetitive transcranial magnetic stimulation frequency influences the hemodynamic responses in patients with disorders of consciousness[J]. Neurosci Res, 2025, 213:72-85. doi: 10.1016/j.neures.2025.02.003 pmid: 39922287
[15]	熊桃, 谭雪梅, 罗静, 等. 脑卒中患者康复动机评估工具的研究进展[J]. 中华护理杂志, 2024, 59(7):890-896. doi: 10.3761/j.issn.0254-1769.2024.07.018
	Xiong T, Tan XM, Luo J, et al. Research progress on rehabilitation motivation assessment tools for stroke patients[J]. Chin J Nurs, 2024, 59(7):890-896. doi: 10.3761/j.issn.0254-1769.2024.07.018
[16]	李洁心, 邵梦鸣, 邱纪方, 等. 基于功能性近红外光谱技术探索脑卒中后偏瘫患者不同踝关节牵伸训练任务与皮层活动的相关性[J]. 中国康复, 2024, 39(6):329-335.
	Li JX, Shao MM, Qiu JF, et al. Exploring the correlation between different ankle stretching training tasks and cortical activity in post-stroke hemiplegic patients using functional near-infrared spectroscopy[J]. Chin J Rehabil, 2024, 39(6):329-335.
[17]	徐胜, 张敏, 杨青青, 等. 功能性电刺激手摇车对脑卒中患者脑网络功能连接的功能性近红外光谱研究[J]. 中国康复理论与实践, 2025, 31(10):1181-1187. doi: 10.3969/j.issn.1006-9771.2025.10.009
	Xu S, Zhang M, Yang QQ, et al. Effect of functional electrical stimulation hand cycling on functional connection of brain networks in stroke patients:a study based on functional near-infrared spectroscopy[J]. Chin J Rehabil Theory Pract, 2025, 31(10):1181-1187.
[18]	周静, 杨远滨, 田浩林, 等. 基于近红外脑功能成像技术指导下运动想象训练在脑卒中后上肢运动功能康复中的应用[J]. 中国康复, 2024, 39(3):131-134.
	Zhou J, Yang YB, Tian HL, et al. Application of motor imagery training guided by functional near-infrared imaging technology in rehabilitation of upper limb motor function after stroke[J]. Chin J Rehabil, 2024, 39(3):131-134.
[19]	高云汉, 侯闪闪, 汪鑫煜, 等. 基于功能性近红外光谱探讨脑机接口对脑卒中患者上肢运动功能障碍的效果[J]. 中国康复理论与实践, 2025, 31(9):1066-1073. doi: 10.3969/j.issn.1006-9771.2025.09.010
	Gao YH, Hou SS, Wang XY, et al. Effect of brain-computer interface on upper limb motor dysfunction in stroke patients based on functional near-infrared spectroscopy[J]. Chin J Rehabil Theory Pract, 2025, 31(9):1066-1073.
[20]	Shanmugam N, Verma R, Sarkar S, et al. Functional near-infrared spectroscopy guided mapping of frontal cortex,a novel modality for assessing emergence delirium in children:a pro-spective observational study[J]. Paediatr Anaesth, 2023, 33(10):844-854. doi: 10.1111/pan.14708
[21]	Yang Z, Ye L, Yang LN, et al. Early screening of post-stroke fall risk:a simultaneous multimodal fNIRs-EMG study[J]. CNS Neurosci Ther, 2024, 30(9):e70041.
[22]	Zhao DD, Li YC, Ning KY, et al. The effects of visual stimulation on the cortical activity of brainstem stroke dysphagia patients:a functional near-infrared spectroscopy study[J]. PLoS One, 2025, 20(6):e0325510.
[23]	Kazazian K, Abdalmalak A, Novi SL, et al. Functional near-infrared spectroscopy:a novel tool for detecting consciousness after acute severe brain injury[J]. Proc Natl Acad Sci U S A, 2024, 121(36):e2402723121.
[24]	Almeida VAD, Cruz MCLD, Morais NR, et al. Simultaneous eye tracking and cerebral hemodynamic monitoring in infants:a guide for pediatric outpatient follow-up[J]. Brain Sci, 2025, 15(5):469. doi: 10.3390/brainsci15050469

功能性近红外光谱在急危重症患者护理中的应用进展

Application progress of functional near-infrared spectroscopy in critical care nursing

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