临床麻醉学杂志2024,Vol.40Issue(2) :195-199.DOI:10.12089/jca.2024.02.016

围术期神经认知障碍的中枢机制:基于脑电图和磁共振成像的研究进展

Central mechanism of perioperative neurocognitive disorders:research progress based on electroen-cephalogram and magnetic resonance imaging

杨金荣 王旭阳 王晶 魏昌伟 吴安石
临床麻醉学杂志2024,Vol.40Issue(2) :195-199.DOI:10.12089/jca.2024.02.016

围术期神经认知障碍的中枢机制:基于脑电图和磁共振成像的研究进展

Central mechanism of perioperative neurocognitive disorders:research progress based on electroen-cephalogram and magnetic resonance imaging

杨金荣 1王旭阳 1王晶 1魏昌伟 1吴安石1
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作者信息

  • 1. 100020 首都医科大学附属北京朝阳医院麻醉科
  • 折叠

摘要

围术期神经认知障碍(PND)是围术期常见疾病,给患者及社会带来沉重负担.由于PND的发病机制复杂且缺乏可靠的诊断及干预手段,而脑电图(EEG)及磁共振成像(MRI)具备提供客观指标的优势,因此两者应用于PND的研究逐渐成为热点.本文对PND患者术中量化脑电指标、EEG频谱分析、EEG功能连通性分析、EEG非线性动力学分析以及围术期MRI分析进行综述,旨在探索EEG和MRI对预测及诊断PND的临床价值.

Abstract

Perioperative neurocognitive disorders(PND)are common perioperative diseases,which bring heavy burden to patients and society.Due to complex pathogenesis of PND and the lack of relia-ble diagnosis and intervention means,and electroencephalography(EEG)and magnetic resonance imaging(MRI)have the advantage of providing objective indicators,so their application in the study of PND has gradually become a hot topic.In this review,the intraoperative processed EEG indices,EEG spectral analy-sis,EEG functional connectivity analysis,EEG nonlinear dynamics analysis,and perioperative MRI analysis in patients with PND are reviewed,aiming to explore the clinical value of EEG and MRI in predic-ting and diagnosing PND.

关键词

围术期神经认知障碍/脑电图/磁共振成像/中枢机制

Key words

Perioperative neurocognitive disorders/Electroencephalogram/Magnetic resonance imaging/Central mechanism

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基金项目

首都卫生发展科研专项(首发 2022-2Z-2039)

首都医科大学附属北京朝阳医院-多学科临床研究创新团队项目(CYDXK202210)

出版年

2024
临床麻醉学杂志
中华医学会南京分会

临床麻醉学杂志

CSTPCDCSCD北大核心
影响因子:2.225
ISSN:1004-5805
参考文献量38
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