ISSN 2097-6046（网络）
ISSN 2096-7446（印刷）
CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 >

2026 , Vol. 7 >Issue 7: 836 - 840

DOI: https://doi.org/10.3761/j.issn.2096-7446.2026.07.009

急危重症疼痛管理专题

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 ,
  • 徐晓滨 ,
  • 王华芬
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  • 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
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

*王华芬，E-mail：2185015@zju.edu.cn

收稿日期: 2025-12-10

  网络出版日期: 2026-07-01

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)

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

  • YANG Li ,
  • XU Xiaobin ,
  • WANG Huafen
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  • 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 date: 2025-12-10

  Online published: 2026-07-01

Supported by

Yangtze River Key Project for Sustainable Development of Zhejiang Hospital Association(2025ZHA-YZJ102)

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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

本文引用格式

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 . DOI: 10.3761/j.issn.2096-7446.2026.07.009

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

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