颈段脊髓电刺激治疗颅脑损伤后慢性意识障碍的进展  

Progress in the treatment of chronic consciousness disorders after traumatic brain injury with cervical spinal cord electrical stimulation

作　　者：张永明 Zhang Yongming(Department of Neurosurgery,Anhui No.2 Provincial People's Hospital,Hefei 230041,China)

机构地区：[1]安徽省第二人民医院神经外科,合肥230041

出　　处：《中华神经创伤外科电子杂志》2023年第3期129-134,共6页Chinese Journal Of Neurotraumatic Surgery：Electronic Edition

基　　金：安徽省重点研究和开发计划项目(201904a07020108);安徽省高校自然科学研究重点项目(KJ2020A0851)。

摘　　要：创伤性颅脑损伤(TBI)是一个全球性的公共卫生问题,慢性意识障碍是TBI后的常见严重并发症。颈段脊髓电刺激(cSCS)已被证明是治疗TBI后意识障碍的有效方法,可直接调节意识障碍患者的觉醒水平。本文主要对cSCS的临床应用(包括术前综合性评估、术后程控、刺激参数的选择、术后并发症)以及cSCS治疗慢性意识障碍的可能机制作一述评。Traumatic brain injury(TBI)is a global public health problem,with chronic cognitive impairment being a common serious complication after TBI.Cervical spinal cord stimulation(cSCS)has been proven to be an effective method for treating consciousness disorders after TBI,aiming to more directly regulate the awakening level of patients with consciousness disorders.This article mainly reviews the clinical application of cSCS(including preoperative comprehensive evaluation,postoperative programming,selection of stimulation parameters,and postoperative complications),as well as the possible mechanisms of cSCS treatment for chronic consciousness disorders.

关 键 词：创伤性颅脑损伤 颈段脊髓电刺激 意识障碍 

分 类 号：R651.3[医药卫生—外科学]