手术体积描记指数在全身麻醉手术中的临床应用研究进展

Advances in the clinical application of surgical pleth index in general anesthesia

术中镇痛监测是近年来研究的热点,良好的术中镇痛监测能够减少阿片类镇痛药物的使用,降低苏醒期躁动的发生率,缩短手术患者术后恢复的时间。近年来,一些用于全身麻醉镇痛监测的无创设备可以提供衡量伤害性感受与镇痛作用之间平衡的参数指标,如手术体积描记指数(surgical pleth index,SPI)、镇痛与伤害性刺激指数、意识指数以及瞳孔直径测量等,其中SPI是近年来常用的全身麻醉中监测镇痛水平的指标。文章就SPI在全身麻醉手术中的临床应用进展进行综述,阐述了SPI的基本原理、临床应用、影响因素及局限性,为今后SPI在临床研究中的应用提供依据。

Intraoperative analgesia monitoring is a hot research topic in recent years.Well managed intraoperative analgesia monitoring can reduce the use of opioid analgesics,reduce the incidence of dysphoria during the recovery period,reduce the incidence of moderate and severe chronic pain after surgery,and shorten the postoperative recovery time of surgical patients.In recent years,some non-invasive anesthesia analgesia monitoring equipment provide the index of parameters of the balance between analgesic effect and nociception,including surgical pleth index(SPI),analgesia and damage sexual stimulation index,the index of consciousness,and the pupil diameter measurement,etc.Among them,the SPI,is the target in many studies in recent years.This article reviews the clinical application of the SPI in general anesthesia.The basic principles,clinical applications,influencing factors,and limitations of SPI are described in this article,which will provide a basis for the application of SPI in clinical research in the future.