心脏骤停后神经功能预后评估方法的研究进展  

Research progress on evaluation methods of neurological outcomes after cardiac arrest

作　　者：刘阳[1] 徐军[2] Liu Yang;Xu Jun(Department of Aerospace Center Hospital,Beijing 100049,China)

机构地区：[1]航天中心医院急诊科,北京100049 [2]北京协和医院急诊科,北京102300

出　　处：《中国急救医学》2025年第4期365-368,F0003,共5页Chinese Journal of Critical Care Medicine

摘　　要：成功复苏后的心脏骤停(CA)患者若仍处于昏迷状态,其神经功能预后评估是临床实践中的一大难点。CA后神经功能预后的评估工具包括电生理检查(脑电图和体感诱发电位)、神经影像学和化学生物标志物的开发,这些可能有助于评估患者的脑损伤程度。现将近年来CA后神经功能预后评估的方法作一综述,比较各种方法的优缺点,并结合最新研究进展提出未来的优化方向,旨在临床现有条件下合理选择应用,能够更好地提高诊疗水平。For the patients with cardiac arrest(CA)who remain comatose after successful resuscitation,prognostic assessment of neurological function is a major challenge to clinical practice.Evaluation tools,including electrophysiological examinations(such as electroencephalography and somatosensory evoked potentials),neuroimaging and the development of chemical biomarkers,may aid in assessing the extent of brain injury in these patients.This review summarizes recent progress in the evaluation methods for neurological outcomes after CA,compares the advantages and disadvantages of various approaches,and incorporates the latest research to propose directions for optimization.These insights aim to facilitate the rational selection of applications under current clinical conditions and improve the overall level of diagnosis and treatment.

关 键 词：心脏骤停 心肺复苏 神经功能预后 神经系统体格检查 神经电生理检查 生物学标志物 神经影像学技术 脑灌注与氧供评估 

分 类 号：R74[医药卫生—神经病学与精神病学]