inovmedИнновационная медицина КубаниInnovative Medicine of Kuban2541-9897Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 110.35401/2541-9897-2025-10-4-136-144inovmed-1383Research ArticleОБЗОРЫREVIEWSМетод ближней инфракрасной спектроскопии как помощник в предотващении гипоксических осложнений у детейNear-Infrared Spectroscopy as a Tool for Preventing Hypoxic Complications in Childrenhttps://orcid.org/0009-0003-6499-012XКлейменовК. А.KleymenovK. A.

Клейменов Кирилл Александрович, врач анестезиолог-реаниматолог 

650066, Кемерово, пр-т Октябрьский, 22 

Kirill A. Kleymenov, Anesthesiologist Intensivist 

Oktyabrsky Avenue 22, Kemerovo, 650066 

k.kleymenov@yandex.ruhttps://orcid.org/0000-0001-8370-3083ГригорьевЕ. В.GrigorievE. V.

Григорьев Евгений Валерьевич, д. м. н., профессор РАН, заместитель директора по научной и лечебной работе 

Кемерово 

Evgeny V. Grigoriev, Dr Sci. (Med.), Professor of the Russian Academy of Sciences, Deputy Director for Scientific and Medical Affairs 

Kemerovo 

https://orcid.org/0000-0002-5993-2027КаменеваЕ. А.KamenevaE. A.

Каменева Евгения Александровна, д. м. н., врач анестезиолог-реаниматолог, главный врач 

Кемерово 

Evgeniya A. Kameneva, Dr. Sci. (Med.), Anesthesiologist Intensivist, Chief Physician 

Kemerovo 

https://orcid.org/0000-0002-3269-9018МозесВ. Г.MozesV. G.

Мозес Вадим Гельевич, д. м. н., профессор, заместитель главного врача по научной деятельности 

Кемерово 

Vadim G. Mozes, Dr. Sci. (Med.), Professor, Deputy Chief Physician for Scientific Affairs 

Kemerovo 

https://orcid.org/0000-0002-6599-9906РудаеваЕ. В.RudaevaE. V.

Рудаева Елена Владимировна, к. м. н., доцент, доцент кафедры акушерства и гинекологии им. Г.А. Ушаковой 

Кемерово 

Elena V. Rudaeva, Cand. Sci. (Med.), Associate Professor, Department of Obstetrics and Gynecology named after Prof. G.A. Usha­ kova 

Kemerovo 

https://orcid.org/0000-0002-6966-2681ЕлгинаС. И.ElginaS. I.

Елгина Светлана Ивановна, д. м. н., доцент, профессор кафедры акушерства и гинекологии им. Г.А. Ушаковой 

Кемерово 

Svetlana I. Elgina, Dr. Sci. (Med.), Associate Professor, Department of Obstetrics and Gynecology named after Prof. G.A. Ushakova 

Kemerovo 

https://orcid.org/0000-0003-2906-6217МозесК. Б.MozesK. B.

Мозес Кира Борисовна, ассистент кафедры поликлинической терапии и сестринского дела 

Кемерово 

Mozes Kira Borisovna, Assistant Professor, Department of Outpatient Therapy, Postgraduate Training and Nursing 

Kemerovo 

Кузбасская областная клиническая больница им. С.В. БеляеваРоссияKuzbass Regional Clinical Hospital named after S.V. BelyaevaRussian FederationНаучно-исследовательский институт комплексных проблем сердечно-сосудистых заболеванийРоссияResearch Institute for Complex Issues of Cardiovascular DiseasesRussian FederationКузбасская клиническая больница скорой медицинской помощи им. М.А. ПодгорбунскогоРоссияKuzbass Clinical Hospital of Emergency Medical Care named after M.A. PodgorbunskyRussian FederationКемеровский государственный медицинский университетРоссияKemerovo State Medical UniversityRussian Federation202530122025104136144Copyright © Клейменов К.А., Григорьев Е.В., Каменева Е.А., Мозес В.Г., Рудаева Е.В., Елгина С.И., Мозес К.Б., 20252025Клейменов К.А., Григорьев Е.В., Каменева Е.А., Мозес В.Г., Рудаева Е.В., Елгина С.И., Мозес К.Б.Kleymenov K.A., Grigoriev E.V., Kameneva E.A., Mozes V.G., Rudaeva E.V., Elgina S.I., Mozes K.B.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.innovmedkub.ru/jour/article/view/1383

Гипоксия является частым осложнением критического состояния в неонатологии и педиатрии и приводит к нарушению окислительных процессов, развитию ацидоза, снижению энергетического баланса клетки, избытку нейромедиаторов, нарушению метаболизма глии и нейронов. Не менее актуальной является проблема профилактики гипоксического поражения головного мозга при анестезиологическом обеспечении.

Одним из перспективных направлений, позволяющих врачам минимизировать риски осложнений, становится мониторинг церебральной гемодинамики, включая использование технологии ближней инфракрасной спектроскопии (NIRS). Этот метод позволяет неинвазивно оценивать региональную насыщенность кислородом тканей мозга, что теоретически помогает врачам анестезиологам-реаниматологам предотвращать развитие гипоксических нарушений у пациентов детского возраста. Каждая применяемая методика имеет достоинства и недостатки. Среди минусов NIRS можно выделить отсутствие четких диагностических критериев и недостаточно обоснованных доказательств, подтверждающих эффективность и значимость метода для улучшения краткосрочных и долгосрочных результатов лечения. Несмотря на это, принцип измерения, основанный на законе Ламберта-Бера, наряду с многочисленными публикациями и исследованиями, создает прочную основу для дальнейших научных изысканий, направленных на разработку подходов по оптимизации мониторинга и своевременной коррекции гипоксических и ишемических изменений мозга посредством NIRS-контроля церебрального кислородоснабжения. 

Hypoxia is a common complication of critical conditions in neonatology and pediatrics, leading to impaired oxidative processes, development of acidosis, decreased cellular energy balance, excessive neurotransmitters, disruption of glial and neuronal metabolism. Equally important is the prevention of hypoxic brain injury during anesthesia. A promising and actively developing approach that allows physicians to manage anesthetic risks is the assessment of cerebral hemodynamics, particularly through the use of near-infrared spectroscopy. This method enables non-invasive monitoring of regional cerebral oxygenation, which at least theoretically, may help  anesthesiologists and intensivists prevent hypoxic complications in children. Each method used in clinical practice has its advantages and disadvantages. One of the limitations of near-infrared spectroscopy is the lack of clearly defined diagnostic criteria and the insufficient evidence supporting its efficacy and clinical relevance in improving postoperative outcomes in both the short and long term. Nevertheless, measurements based on the Beer-Lambert law, supported by numerous publications and studies, provides a reliable foundation for further research afocused on improving monitoring strategies and timely correction of hypoxic and ishemic cerebral brain changes through NIRS-based cerebral oxygenation monitoring. 

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The authors declare that there are no conflicts of interest present.