国际麻醉学与复苏杂志   2015, Issue (3): 11-11
    
认知解耦联与全身麻醉意识消失
刘洋, 喻田1()
1.贵州省遵义医学院基础研究重点实验室
Cognitive unbinding and general anesthetic-induced unconsciousness
 全文:
摘要:

背景 "认知解耦联"是指在大脑中特定的认知活动合成受损,是意识消失的一种模式。"认知解耦联"也许是不同麻醉药物作用的共同机制。 目的 综述认知解耦联的基本概念及其与全身麻醉意识消失的关系。 内容 以全身麻醉意识消失为中心,结合神经影像学神经生理学证据,表明认知解耦联是麻醉诱导意识消失的直接原因。认知解耦联与睡眠和其它原因的意识障碍有一定的相关性,可能是全身麻醉和其他无意识状态的共同机制。 趋向 认知解耦联为全身麻醉意识消失机制的研究提供了新的方向,要求将电生理技术和影像学技术结合用于全身麻醉机制的研究。

关键词: 认知解耦联;意识消失;全身麻醉;睡眠
Abstract:

Background “Cognitive unbinding” means the impaired synthesis of specialized cognitive processing in the brain, which is a kind of paradigm of unconsciousness. “Cognitive unbinding” may be the common mechanism of different anesthetics. Objective We reviewed the basic concept of “Cognitive unbinding” and its relationship with general anesthetic-induced unconsciousness. Content Using general anesthesia-induced unconsciousness as a central state, this article draws on the evidence from neuroimaging and neurophysiology data, which supports the proposition that cognitive unbinding is a direct cause of general anesthetic-induced unconsciousness. The relevance of cognitive unbinding to sleep and other disorders of consciousness is also possible. Cognitive unbinding may be a common mechanism for general anesthesia and other unconscious states. Trend Cognitive unbinding provides a new direction for the study of general anesthetic-induced unconsciousness. The study of mechanism of general anesthesia needs the combination of electrophysiological and imaging technologies.

Key words: Cognitive unbinding; Unconsciousness; General anesthesia; Sleep