国际麻醉学与复苏杂志
國際痳醉學與複囌雜誌
국제마취학여복소잡지
INTERNATIONAL JOURNAL OF ANESTHESIOLOGY AND RESUSCITATION
2015年
4期
350-354
,共5页
伤害性应激反应%镇痛%监测
傷害性應激反應%鎮痛%鑑測
상해성응격반응%진통%감측
Nociception%Analgesia%Monitoring
背景 围术期麻醉深度监测的重要性已被认同,镇静、镇痛及抗伤害刺激、肌肉松弛是全身麻醉的主要组成部分,目前有关镇静、肌松程度监测被认可的方法及手段已有很多,而有关镇痛/抗伤害应激程度监测的成熟手段及方法还较少,近年来这方面的研究一直是一个热点,也取得了一些成绩.目的 旨在推进镇痛航伤害应激程度监测的相关研究进展.内容 对目前有关围术期镇痛/抗伤害应激程度监测的相关参数及方法进行总结,介绍它们的原理、实用性及优缺点.趋向 寻找理想的镇痛/抗伤害应激程度监测方法还有很长的路要走,基于脑电图的镇痛/抗伤害应激程度监测方法具有一定的应用前景.
揹景 圍術期痳醉深度鑑測的重要性已被認同,鎮靜、鎮痛及抗傷害刺激、肌肉鬆弛是全身痳醉的主要組成部分,目前有關鎮靜、肌鬆程度鑑測被認可的方法及手段已有很多,而有關鎮痛/抗傷害應激程度鑑測的成熟手段及方法還較少,近年來這方麵的研究一直是一箇熱點,也取得瞭一些成績.目的 旨在推進鎮痛航傷害應激程度鑑測的相關研究進展.內容 對目前有關圍術期鎮痛/抗傷害應激程度鑑測的相關參數及方法進行總結,介紹它們的原理、實用性及優缺點.趨嚮 尋找理想的鎮痛/抗傷害應激程度鑑測方法還有很長的路要走,基于腦電圖的鎮痛/抗傷害應激程度鑑測方法具有一定的應用前景.
배경 위술기마취심도감측적중요성이피인동,진정、진통급항상해자격、기육송이시전신마취적주요조성부분,목전유관진정、기송정도감측피인가적방법급수단이유흔다,이유관진통/항상해응격정도감측적성숙수단급방법환교소,근년래저방면적연구일직시일개열점,야취득료일사성적.목적 지재추진진통항상해응격정도감측적상관연구진전.내용 대목전유관위술기진통/항상해응격정도감측적상관삼수급방법진행총결,개소타문적원리、실용성급우결점.추향 심조이상적진통/항상해응격정도감측방법환유흔장적로요주,기우뇌전도적진통/항상해응격정도감측방법구유일정적응용전경.
Background The importance of perioperative anesthesia depth monitoring has been recognized.Sedation,analgesia and antinociception,muscle relaxation are the main component of general anesthesia.At present,some methods of monitoring the depth of sedation and muscle relaxation have been successfully applyed in clinical anesthesia.However,there is little mature means of monitoring the level of analgesia/antinociception,so research on this field has become a hot spot in recent years and has achieved some progress.Objective To promote the research on analgesia/antinociception monitoring.Content In this review,the current related parameters and methods of perioperative analgesia/antinociception motoring are summarized,and their principle,practicality,advantages and disadvantages are introduced.Trend Searching for an ideal analgesia/antinociception monitoring method still has a long way to go,method that based on electroencephalogram of analgesia/antinociception monitoring has a certain application prospect.