脑电意识指数与伤害敏感指数在精准化麻醉管理中临床应用研究进展
Clinical research advances on precision anesthesia management based on electroencephalogram index of consciousness and injury sensitivity index
曹钰璇 1纪筠 2裴凌3
作者信息
- 1. 空军特色医学中心麻醉科,北京 100142;中国医科大学研究生院,沈阳 110001
- 2. 空军特色医学中心麻醉科,北京 100142
- 3. 中国医科大学第一附属医院麻醉科,沈阳 110001
- 折叠
摘要
传统麻醉监测手段是基于机体对疼痛非特异反应进行的,随着外科手术对精准化麻醉管理的需求逐渐升高,此类方法特异度及敏感度较低的弊端逐步显现.基于意识指数(IoC)的麻醉监测是一种新型的、可以同时监测麻醉镇静与镇痛深度的监测系统,该系统内包含两个指数——脑电意识指数(IoC1)与伤害敏感指数(IoC2).文章简要介绍此监测系统的基本原理,比较此两种指数相较于其他麻醉深度监测指数的优缺点,详细阐述目前IoC监测设备的临床应用情况以及相关干扰因素.
Abstract
With the increasing demand for the accuracy of anesthesia management in clinical surgery,the drawbacks of low specificity and sensitivity of traditional anesthesia monitoring methods,which are based on the patients'non-specific responses to pain,are gradually exposed.Index of consciousness(IoC)-based anesthesia monitoring is a novel monitoring system that allows for simultane-ous monitoring of the depth of anesthesia sedation and analgesia,and contains two indices within the system-the electroencephalogram index of consciousness(IoC1)and the injury sensitivity index(IoC2).This paper will briefly introduces the basic principle of this moni-toring system,compares the advantages and disadvantages of these two indices compared with other anesthesia depth monitoring indi-ces,and describes in detail the clinical application of the current IoC monitoring equipment as well as the related interference factors.
关键词
麻醉深度/意识指数/麻醉管理Key words
Depth of anesthesia/Consciousness index/Anesthesia management引用本文复制引用
出版年
2024
NETL
NSTL
万方数据