国际麻醉学与复苏杂志   2015, Issue (4): 5-5
    
围术期镇痛/抗伤害应激程度监测的研究进展
陈晓, 于金贵1()
1.山东大学齐鲁医院
Research progress of perioperative analgesic/antinociception monitoring
 全文:
摘要:

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/抗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。

关键词: 伤害性应激反应; 镇痛; 监测
Abstract:

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.

Key words: Nociception; Analgesia; Monitoring