脑损伤后意识障碍神经电生理监测方法研究进展  

Advances on neurophysiological monitoring methods for consciousness disorder after brain injury

作　　者：王仲朋 王文磊[1] 陈龙 刘秀云 明东[1,2,3] WANG Zhong-peng;WANG Wen-lei;CHEN Long;LIU Xiu-yun;MING Dong(Academy of Medical Engineering and Translational Medicine,Tianjin University,Tianjin 300072,China;School of Precision Instruments and Opto-electronics Engineering,Tianjin University,Tianjin 300072,China;Tianjin Key Laboratory of Brain Science and Neuroengineering,Tianjin University,Tianjin 300072,China;Grade 2022,Academy of Medical Engineering and Translational Medicine,Tianjin University,Tianjin 300072,China)

机构地区：[1]天津大学医学工程与转化医学研究院,300072 [2]天津大学精密仪器与光电子工程学院,300072 [3]天津大学天津市脑科学与神经工程重点实验室,300072

出　　处：《中国现代神经疾病杂志》2023年第10期878-883,共6页Chinese Journal of Contemporary Neurology and Neurosurgery

基　　金：国家重点研发计划项目(项目编号:2022YFF1202304);国家自然科学基金青年科学基金资助项目(项目编号:62006171);天津市科技计划项目(项目编号:20JCYBJC00930)。

摘　　要：脑损伤后意识障碍的准确诊断是治疗的基础,既往脑损伤后意识障碍的评价主要基于行为量表测验、影像学检查等,易受主观因素和外界的干扰,发展客观高效的脑损伤后意识障碍评价方法是当前研究热点,神经电生理监测安全、客观、操作简单,可实现实时连续监测。本文总结脑诱发电位和脑电图在脑损伤后意识障碍评价中的应用范式和分析方法,以为改进脑损伤后意识障碍诊断与治疗方案提供新的技术思路。An accurate diagnosis of consciousness disorder after brain injury is the basis for further treatment.The previous evaluation of consciousness disorder after brain injury is mainly based on behavior scales and imaging examination,which is limited to subjective factors and external interference and difficult to detect and evaluate in real time.The development of objective and efficient evaluation methods of consciousness disorder after brain injury is currently a hot spot in clinical research.Neurophysiological monitoring is safe,objective,simple to operate,and can be detected continuously timely.It can be used as an evaluation method for consciousness disorder after brain injury.In this paper,we summarize the application paradigms and analysis methods of evoked potential and EEG in the clinical evaluation of consciousness disorder after brain injury in recent years,in order to provide new technical ideas for improving the clinical diagnosis and treatment of consciousness disorder after brain injury.

关 键 词：脑损伤 意识障碍 神经电生理监测 综述 

分 类 号：R651.15[医药卫生—外科学]