Development and reform of neurosurgical critical care management

doi:10.3969/j.issn.1672-6731.2025.10.001

Abstract

Abstract:

Over decades of development, the management of diagnosis and treatment in neurocritical care medicine has evolved from single - parameter monitoring to multimodal neuromonitoring. Through the integration of intracranial pressure (ICP), cerebral blood flow, brain function and other multi-parameter monitoring data, combined with artificial intelligence (AI) and big data model, it can realize the risk early warning of multiple complications. Digital and intelligent technologies are driving innovations in diagnosis and treatment. Although facing challenges such as difficult data standardization and model adaptation, it will continue to develop towards precision, individualization, digital intelligence and networking in the future.

Key words: Neurosurgery, Critical care, Intracranial pressure, Hypothermia, induced, Anesthesia and analgesia, Monitoring, physiologic, Artificial intelligence, Big data, Review

摘要：

神经外科重症医学历经数十年发展，其救治管理从单一参数监测演进为多模态神经监测，通过整合颅内压、脑血流、脑功能等多参数监测数据，结合人工智能与大数据模型实现多种并发症的风险预警；数智技术正在推动诊疗技术的革新。虽面临数据标准化、模型适配性等挑战，但未来仍将继续向精准化、个性化、数智化、网络化发展。

关键词: 神经外科(学), 危重病人医疗, 颅内压, 低温, 人工, 麻醉和镇痛, 监测, 生理学, 人工智能, 大数据, 综述

Guang FENG. Development and reform of neurosurgical critical care management[J]. Chinese Journal of Contemporary Neurology and Neurosurgery, 2025, 25(10): 869-873.

冯光. 神经外科重症救治管理的发展与变革[J]. 中国现代神经疾病杂志, 2025, 25(10): 869-873.

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