不同麻醉深度监测指数在临床应用中的对比研究进展  

Research advances in comparing different anesthetic depth monitoring indexes in clinical application

作　　者：左都坤 李洪 任玉坤 李阳 Zuo Dukun;Li Hong;Ren Yukun;Li Yang(Department of Anesthesiology,Xinqiao Hospital,the Army Military Medical University,Chongqing 400037,China)

机构地区：[1]陆军军医大学新桥医院麻醉科,重庆400037

出　　处：《国际麻醉学与复苏杂志》2022年第7期721-727,共7页International Journal of Anesthesiology and Resuscitation

基　　金：国家重点研发计划(2018YFC0117200)。

摘　　要：目前用于反映麻醉深度的监测指数已经超过10种,从最初的BIS到现在的多种指数,诸如意识指数、麻醉深度指数、熵指数、听觉诱发电位、相位滞后熵等。这些指数因算法不同而各有特点。文章重点介绍这些监测指数的基本原理、监测不同麻醉药镇静深度时的准确性、抗干扰因素、反映意识状态改变的即时性等,以及以BIS为对照的研究进展,为其在临床麻醉中的应用提供参考。At present,more than ten monitoring indexes have been used to reflect the depth of anesthesia,from the initial bispectral index(BIS)to a variety of other indexes,such as index of consciousness,depth of anesthesia index,entropy index,auditory evoked potential,phase lag entropy and so on.However,due to the different algorithms of these indexes,each has its characteristics.This review will focus on the general principles of these monitoring indexes,their accuracy in monitoring different anesthetic sedation depths,their anti⁃interference factors,and their immediacy in reflecting changes in the state of consciousness regarding BIS to provide a reference for their application in clinical anesthesia.

关 键 词：麻醉深度 监测 意识指数 麻醉深度指数 熵指数 听觉诱发电位 相位滞后熵 

分 类 号：R614[医药卫生—麻醉学]