文章摘要
术中脑功能监测的研究进展
Research progress of intraoperative brain function monitoring
  
DOI:10.12089/jca.2023.06.018
中文关键词: 脑功能监测  脑电图  近红外光谱技术  联合监测
英文关键词: Brain function monitoring  Electroencephalographic  Near-infrared spectroscopy  Joint detection
基金项目:首都卫生发展科研专项(首发2022-2Z-2039)
作者单位E-mail
张轶菡 100020,首都医科大学附属北京朝阳医院麻醉科  
魏昌伟 100020,首都医科大学附属北京朝阳医院麻醉科  
吴安石 100020,首都医科大学附属北京朝阳医院麻醉科 wuanshi1965@163.com 
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中文摘要:
      近年来术中常用的脑功能监测手段是脑电图(EEG)与近红外光谱技术(NIRS)。完善的脑功能监测可及时发现术中脑灌注不足,减少术后认知功能障碍的发生,降低术后死亡率,改善患者预后。使用EEG和NIRS进行联合监测(EEG-NIRS联合监测)已经在临床应用,联合监测能够提供比单一监测更加全面的信息,客观准确的评估大脑的功能状态。本文将从EEG、NIRS以及EEG-NIRS联合监测在临床场景中的应用作一综述,为临床提供参考。
英文摘要:
      In recent years, electroencephalographic (EEG) and near-infrared spectroscopy (NIRS) are commonly used to monitor brain function. Perfect brain function monitoring can timely detect intraoperative cerebral hypoperfusion, reduce the occurrence of postoperative cognitive dysfunction and postoperative mortality. All of these are positive for improving patient prognosis. At the same time, combined monitoring of EEG and NIRS has been used in several clinical settings. Compared to single monitoring, joint monitoring can provide more comprehensive information which can be used to evaluate the functional state of the brain objectively and accurately. This article reviews the clinical application of EEG, NIRS and EEG-NIRS combined detection, so as to provide reference for clinical practice.
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