中国全科医学2024,Vol.27Issue(32) :4093-4096.DOI:10.12114/j.issn.1007-9572.2023.0742

神经振荡在意识障碍诊疗中的应用展望

Perspectives on the Application of Neural Oscillations in the Diagnosis and Treatment of Consciousness Disorders

张慧敏 单大卫 张艳
中国全科医学2024,Vol.27Issue(32) :4093-4096.DOI:10.12114/j.issn.1007-9572.2023.0742

神经振荡在意识障碍诊疗中的应用展望

Perspectives on the Application of Neural Oscillations in the Diagnosis and Treatment of Consciousness Disorders

张慧敏 1单大卫 1张艳2
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作者信息

  • 1. 100053 北京市,首都医科大学宣武医院神经内科
  • 2. 100053 北京市,首都医科大学宣武医院神经内科;100053 北京市,首都医科大学睡眠与意识障碍研究所
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摘要

意识障碍(DOC)的诊断及治疗具有挑战性,DOC的神经机制之一是神经振荡同步性及连接性的破坏.本文从神经振荡应用于DOC诊疗的理论基础、应用进展以及存在不足 3 个方面评述了神经振荡在DOC诊疗中的研究进展.神经振荡即神经元群在特定条件下产生的周期性、同步性的放电活动,在不同程度DOC中神经振荡的频谱特征、相位同步及对神经调控反应方面有明显差异,基于脑电图(EEG)的神经振荡分析揭示了不同意识水平下的信息传递及处理能力,从而有助于更准确地区分不同程度DOC以及通过调节神经振荡达到DOC促醒治疗的目的.尽管目前仍存在机制研究不深入、应用转化较慢等问题,但神经振荡已在DOC的诊疗中显示出了巨大的应用潜力.

Abstract

The diagnosis and treatment of disorder of consciousness(DOC)is still challenging.One of the neural mechanisms of DOC is the destruction of synchronization and connectivity of neural oscillation.This article will review the progress of neural oscillation in the diagnosis and treatment of DOC from three aspects:theoretical basis,application progress,and existing deficiencies of neural oscillations applied to DOC.Neural oscillation is the periodic and synchronous activity of neurons under certain conditions.There are obvious differences in the spectrum characteristics,phase synchronization,and response to neural regulation of neural oscillations among different severities of DOC.The analysis of neural oscillation based on electroencephalography(EEG)reveals the information transmission and processing ability at different levels of consciousness,which is helpful to distinguish different degrees of DOC more accurately and achieve the purpose of DOC wakening treatment by regulating neuro oscillation.Despite there being some problems like insufficient mechanism studies and slow application transformation,neural oscillation has shown great application potential in the diagnosis and treatment of DOC.

关键词

意识障碍/神经振荡/脑电图/综述

Key words

Consciousness disorders/Neural oscillations/Electroencephalography/Review

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出版年

2024
中国全科医学
中国医院协会

中国全科医学

CSTPCD北大核心
影响因子:2.04
ISSN:1007-9572
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