伤害性感受监测在麻醉中的应用  

Application of nociception monitoring in anesthesia

作　　者：张麟临 李英宁 王国林[1] Zhang Linlin;Li Yingning;Wang Guolin(Department of Anesthesiology,Tianjin Medical University General Hospital,Tianjin Institute of Anesthesiology,Tianjin 300052,China)

机构地区：[1]天津医科大学总医院麻醉科,天津市麻醉学研究所,天津300052

出　　处：《国际麻醉学与复苏杂志》2025年第1期96-99,共4页International Journal of Anesthesiology and Resuscitation

基　　金：国家自然科学基金(82171205,81801107,81571077)。

摘　　要：随着舒适化诊疗理念及加速康复外科的提出,围手术期疼痛管理受到越来越多的关注。疼痛是一种主观感受,不同患者对镇痛药物的敏感性与对疼痛的耐受能力存在个体差异,精准的痛觉监测维持理想镇痛程度对于提高手术麻醉安全性和患者舒适度至关重要。文章概述了目前主要的术中伤害性刺激及镇痛水平的客观监测方法,旨在为日后开发及应用能够评估患者伤害性刺激水平的理想监测手段提供参考依据。With the emphasis on comfortable diagnosis and treatment,as well as enhanced recovery after surgery,perioperative pain management has gained increasing attention.Pain is a subjective experience,and individual differences in sensitivity to analgesic drugs and pain tolerance can vary among patients.Therefore,maintaining the ideal depth of analgesia through accurate pain monitoring is crucial for improving safety and comfort during surgery and anesthesia.This review summarizes the primary technologies for nociception and analgesia monitoring,aiming to provide new insights for developing an effective monitoring method to assess nociception levels in patients.

关 键 词：伤害性感受监测 镇痛伤害性刺激指数 手术体积描记指数 伤害感受水平指数 

分 类 号：R47[医药卫生—护理学]