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目的:总结主动脉弓部手术中停循环温度及脑灌注方式的临床研究现状。方法:以“主动脉” “主动脉弓” “脑保护” “脑灌注”和“aorta” “aortic arch” “brain protection” “cerebral perfusion”等为中英文关键词，在中国知网、万方数据库、PubMed、SinoMed等中英文数据库中检索2000年1月—2020年1月相关文献，按纳入排除标准最终纳入42篇，其中包括3篇中文文献和39篇英文文献。对主动脉弓部手术脑保护措施中停循环温度和灌注方式的临床研究成果进行总结。结果:深低温和顺行脑灌注是目前临床主动脉弓部手术中应用较普遍的脑保护措施，具有良好的脑保护效果；同时，众多研究显示中低温和逆行脑灌注同样安全、有效。结论:低温联合灌注保护策略正逐渐成为主动脉弓部手术中脑保护策略的主流形式，但对于温度、灌注方式等的选择仍有待进一步深入研究。“,”Objective:To summarize the findings of clinical studies on circulatory arrest temperature and cerebral perfusion mode in aortic arch surgery.Methods:A search of English and Chinese databases, such as PubMed, SinoMed, CNKI, and Wanfang, was conducted using the keywords “aorta” “aortic arch” “brain protection” “cerebral perfusion” and “主动脉” “主动脉弓” “脑保护” “脑灌注” to obtain literature related to the circulatory arrest temperature and perfusion mode in cerebral protective measures of aortic arch surgery published from January 2000 to January 2020. After reviewing these articles on the basis of the established inclusion and exclusion criteria, a total of 42 published reports, including 3 in Chinese and 39 in English, were finally included in the analysis.Results:Deep hypothermia and antegrade cerebral perfusion were the most effective brain protective measures in clinical aortic arch surgery. Many studies showed that moderate hypothermia and retrograde cerebral perfusion are equally safe and effective.Conclusions:Hypothermia combined with perfusion is gradually becoming the main brain protective strategy in aortic arch surgery. However, the choice of temperature and perfusion mode requires further study.