灌注指数反映疼痛与应激的研究进展  

Research progress of perfusion index reflecting pain and stress

作　　者：邓子豪 卓明[2] 钟茂林[2] DENG Zi-hao;ZUO Ming;ZHONG Mao-lin(Gannan Medical University;Department of Anesthesiology,The First Affiliated Hospital of Gannan Medical University,Ganzhou Key Laboratory of Anesthesiology,Ganzhou,Jiangxi 341000)

机构地区：[1]赣南医学院 [2]赣南医学院第一附属医院麻醉科、赣州市麻醉学重点实验室,江西赣州341000

出　　处：《赣南医学院学报》2023年第2期208-211,218,共5页JOURNAL OF GANNAN MEDICAL UNIVERSITY

摘　　要：手术创伤带来的剧烈疼痛与应激反应显著影响预后及就医体验,麻醉手术期间如何准确评估疼痛应激反应程度,是麻醉疼痛管理的关键。灌注指数(Perfusion index,PI)作为一项反映脉动血流的监测项目,能反映监测部位的血流灌注情况。创伤刺激引发机体的一系列生理调节反应,使体内血流灌注的分布发生改变,末梢部位血流灌注减少,这一调节过程可通过反映灌注的PI得到体现。现有研究明确了PI与疼痛应激之间的相关性,且具有可靠、客观、量化等优势,为临床监测患者的疼痛程度以及应激水平提供了新思路。Severe pain and stress reaction caused by surgical trauma significantly affect the prognosis and medical experience.How to accurately evaluate the degree of pain stress reaction during anesthesia surgery is the key to anesthesia pain management.As a monitoring item reflecting pulsatile blood flow,perfusion index(PI)can reflect the blood flow perfusion at the monitoring site.Trauma stimulation triggers a series of physiological regulatory responses of the body,which changes the distribution of blood flow perfusion in the body and reduces the blood flow perfusion in the peripheral part.This regulatory process can be reflected by the PI index reflecting the perfusion.The existing research has clarified the correlation between PI and pain stress,and PI has the advantages of reliability,objectivity and quantification,which provides a new idea for clinical monitoring of patients'pain degree and stress level.

关 键 词：灌注指数 疼痛 应激 

分 类 号：R614.1[医药卫生—麻醉学]