神经电生理监测技术在慢性意识障碍中的应用

doi:10.3969/j.issn.1672-6731.2020.11.002

中国现代神经疾病杂志 ›› 2020, Vol. 20 ›› Issue (11): 936-943. doi: 10.3969/j.issn.1672-6731.2020.11.002

2 神经电生理监测技术在慢性意识障碍中的应用

庄禹童¹, 陈凯天², 杨艺³, 何江弘³

1 510515 广州, 南方医科大学第二临床医学院神经外科;
2 510515 广州, 南方医科大学第一临床医学院2019级;
3 100070 首都医科大学附属北京天坛医院神经外科

收稿日期:2020-11-19 出版日期:2020-11-25 发布日期:2020-12-02
通讯作者: 何江弘,Email:he_jianghong@sina.cn
基金资助:
国家自然科学基金资助项目（项目编号：81771128）；北京市科技新星计划项目（项目编号：Z181100006218050）；广东省重点领域研发计划项目（项目编号：2018B030339001）

Application of neuroelectrophysiological monitoring technology in prolonged disorders of consciousness

ZHUANG Yu-tong¹, CHEN Kai-tian², YANG Yi³, HE Jiang-hong³

1 Department of Neurosurgery, The Second School of Clinical Medicine, Southern Medical University, Guangzhou 510515, Guangdong, China;
2 Grade 2019, The First School of Clinical Medicine, Southern Medical University, Guangzhou 510515, Guangdong, China;
3 Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China

Received:2020-11-19 Online:2020-11-25 Published:2020-12-02
Supported by:
This study was supported by the National Natural Science Foundation of China (No. 81771128), Beijing Science and Technology Nova (No. Z181100006218050), and Key Research and Development Program of Guangdong Province, China (No. 2018B030339001).

摘要/Abstract

摘要：

准确评估慢性意识障碍患者的意识水平是制定诊疗策略的基础，仅依据床旁神经系统查体难以精准判定，误诊率极高。辅助神经影像学和神经电生理监测技术可以显著提高隐匿意识的检出率和预测预后的准确性。基于脑电图的神经电生理监测技术具有高性价比、高时域分辨力和长时程记录等优点，本文综述神经电生理监测技术在慢性意识障碍中的临床应用现状和进展，以为临床和科研提供参考。

关键词: 意识障碍, 神经电生理监测, 综述

Abstract:

Accurate assessment of the level of consciousness of patients with prolonged disorders of consciousness is the basis for making appropriate diagnosis and treatment strategies. It is difficult to make an accurate evaluation only based on the physical examination of nervous system on bedside, and the rate of misdiagnosis is extremely high. With the help of neuroimaging and neuroelectrophysiological monitoring technology, the detection rate of potential consciousness and accuracy of prognosis prediction can be significantly improved. The neuroelectrophysiology technology based on electroencephalography has many advantages such as high cost performance, high temporal resolution, long recording time and so on. This article summarizes the clinical application status and progress of neuroelectrophysiological monitoring technology to provide reference for clinical and scientific research in prolonged disorders of consciousness.

Key words: Consciousness disorders, Neurophysiological monitoring, Review

庄禹童, 陈凯天, 杨艺, 何江弘. 神经电生理监测技术在慢性意识障碍中的应用[J]. 中国现代神经疾病杂志, 2020, 20(11): 936-943.

ZHUANG Yu-tong, CHEN Kai-tian, YANG Yi, HE Jiang-hong. Application of neuroelectrophysiological monitoring technology in prolonged disorders of consciousness[J]. Chinese Journal of Contemporary Neurology and Neurosurgery, 2020, 20(11): 936-943.

http://journal11.magtechjournal.com/cjcnn/CN/Y2020/V20/I11/936

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