Study and application of cerebral state monitor evaluating coma in cases with brain injury
- VernacularTitle:脑损害昏迷患者脑状态实时监测的研究及应用
- Author:
Ai-Jun SHAN
;
Mei-Hua GU
;
Zhao-Yi DING
;
Qing-Yang LIU
;
Bo DU
;
Fang-Xue FU
;
Shao-Wei JIA
;
Jia WANG
;
- Publication Type:Journal Article
- Keywords:
Brain injuries;
Coma;
Monitoring;
Electroencephalography;
Cerebral function
- From:
Chinese Journal of Trauma
2003;0(07):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the role of cerebral state index(CSI),burst suppression (BS)and electromyograph(EMG)in monitoring coma/consciousness depth and damage degree of brain. Methods CSM was done in 50 cases with brain injury and coma to analyze its relation with physical reflection,auditory evoked potential(AEP),Glasgow coma score(GCS)and Glasgow outcome scale (GOS).Results As scale range meaning from consciousness to deep coma and to brain death,CSI 0- 100 was positively correlated with coma depth,coma score of GCS and physical reflection.CSI changes under invariable ache stimulation in combination with BS and EMG can accurately estimate prognosis and quantify changes of brain function.Conclusions The quantifiable digit of coma/consciousness depth and damage degree in brain function by CSM can attain real time judgment of dynamic evolvement course of coma and objective guide clinical therapy and assure prognosis,as will change absolutely scoring coma/ consciousness depth and prognosis under current state of artificial diversity and lacking objective evi- dences.
