脑损伤后意识障碍神经电生理监测方法研究进展

Advances on neurophysiological monitoring methods for consciousness disorder after brain injury

脑损伤后意识障碍的准确诊断是治疗的基础,既往脑损伤后意识障碍的评价主要基于行为量表测验、影像学检查等,易受主观因素和外界的干扰,发展客观高效的脑损伤后意识障碍评价方法是当前研究热点,神经电生理监测安全、客观、操作简单,可实现实时连续监测。本文总结脑诱发电位和脑电图在脑损伤后意识障碍评价中的应用范式和分析方法,以为改进脑损伤后意识障碍诊断与治疗方案提供新的技术思路。

An accurate diagnosis of consciousness disorder after brain injury is the basis for further treatment.The previous evaluation of consciousness disorder after brain injury is mainly based on behavior scales and imaging examination,which is limited to subjective factors and external interference and difficult to detect and evaluate in real time.The development of objective and efficient evaluation methods of consciousness disorder after brain injury is currently a hot spot in clinical research.Neurophysiological monitoring is safe,objective,simple to operate,and can be detected continuously timely.It can be used as an evaluation method for consciousness disorder after brain injury.In this paper,we summarize the application paradigms and analysis methods of evoked potential and EEG in the clinical evaluation of consciousness disorder after brain injury in recent years,in order to provide new technical ideas for improving the clinical diagnosis and treatment of consciousness disorder after brain injury.