临床麻醉学杂志2024,Vol.40Issue(5) :532-535.DOI:10.12089/jca.2024.05.016

丙泊酚诱导意识消失的脑电机制

Electroencephalographic mechanisms of loss of consciousness induced by propofol

陶飞 顾卫东
临床麻醉学杂志2024,Vol.40Issue(5) :532-535.DOI:10.12089/jca.2024.05.016

丙泊酚诱导意识消失的脑电机制

Electroencephalographic mechanisms of loss of consciousness induced by propofol

陶飞 1顾卫东1
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作者信息

  • 1. 200040 上海市,复旦大学附属华东医院麻醉科
  • 折叠

摘要

脑电图可以实时连续地记录大脑区域内局部神经元自发的、有节律的电活动,评价大脑功能状态,是一种监测大脑活动的工具,广泛应用于心理学、认知功能以及意识状态等研究领域,为研究全麻药物的作用机制提供了一种新方法.丙泊酚在临床上应用广泛,分子机制已得到深入研究.丙泊酚诱导意识消失的神经脑网络机制目前尚未明确.本文回顾了常用全麻药物丙泊酚诱导意识消失的脑电特征性改变(包括功率谱、复杂度、微状态、功能连通性及脑网络拓扑特征改变)及相应的大脑功能变化,为进一步研究全麻药物的作用机制以及麻醉深度监测提供新思路.

Abstract

Electroencephalography can continuously record the spontaneous and rhythmic electrical activity of local neurons in the brain region in real time and evaluate the functional state of the brain,which is a tool for monitoring brain activity.It has been widely used in the research fields of psychology,cognitive function and consciousness,which provides a new approach to study the mechanism of action of general an-esthetic drugs.Propofol is widely used in clinical practice,and its molecular mechanism has been deeply studied.The neural network mechanism of loss of consciousness induced by propofol is still unclear.This ar-ticle reviews the changes of electroencephalogram characteristics(including power spectrum,complexity,microstate,the functional connectivity,and brain network topology characteristics change)and corres-ponding brain functional changes of loss of conscionsness induced by propofol,the common general anesthet-ic,to provide a new idea for further research on the mechanism of action of anesthetic drugs and the depth of anesthesia monitoring.

关键词

脑电图/丙泊酚/意识消失/大脑功能

Key words

Electroencephalography/Propofol/Loss of consciousness/Brain function

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基金项目

国家自然科学基金(82271286)

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27
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