机构:[1]Capital Med Univ, Neurosurg Intens Care Unit, Beijing Tiantan Hosp, Beijing 100050, Peoples R China;重点科室诊疗科室神经外科神经外科首都医科大学附属天坛医院[2]Harbin Med Coll, Dept Anaesthesiol, Clin Hosp 3, Harbin, Peoples R China;[3]Capital Med Univ, Neurosurg Intens Care Unit, Beijing Tiantan Hosp, 6 Tiantan Xili, Beijing 100050, Peoples R China重点科室诊疗科室神经外科神经外科首都医科大学附属天坛医院
To test whether the cerebral state index (CSI) can be used as a measurement of the level of consciousness in unsedated brain-injured patients, 21 brain-injured adults were prospectively assessed in 77 separate sessions. After CSI monitoring was set up, the patient's motor responses to verbal and/or painful stimuli were assessed. CSI values were recorded before and after external stimulation. Purposeful movement in response to external stimuli was defined as command obeying and pain localization. Mean maximal CSI values increased significantly after external stimulation: from 71 to 89 and 49 to 62 in patients exhibiting purposeful and non-purposeful movements, respectively. The CSI value showed a high prediction probability (P-K > 0.8) for detecting purposeful movement to external stimuli, especially after external stimulation (P-K > 0.9). These results suggest that CSI monitoring might be a valid method for detecting purposeful movement in response to external stimuli in unsedated brain-injured patients.
语种:
外文
被引次数:
WOS:
PubmedID:
中科院(CAS)分区:
出版当年[2008]版:
大类|4 区医学
小类|4 区医学:研究与实验4 区药学
最新[2025]版:
大类|4 区医学
小类|4 区医学:研究与实验4 区药学
JCR分区:
出版当年[2007]版:
Q4PHARMACOLOGY & PHARMACYQ4MEDICINE, RESEARCH & EXPERIMENTAL
最新[2024]版:
Q3MEDICINE, RESEARCH & EXPERIMENTALQ4PHARMACOLOGY & PHARMACY
第一作者机构:[1]Capital Med Univ, Neurosurg Intens Care Unit, Beijing Tiantan Hosp, Beijing 100050, Peoples R China;[2]Harbin Med Coll, Dept Anaesthesiol, Clin Hosp 3, Harbin, Peoples R China;
通讯作者:
通讯机构:[1]Capital Med Univ, Neurosurg Intens Care Unit, Beijing Tiantan Hosp, Beijing 100050, Peoples R China;[3]Capital Med Univ, Neurosurg Intens Care Unit, Beijing Tiantan Hosp, 6 Tiantan Xili, Beijing 100050, Peoples R China
推荐引用方式(GB/T 7714):
Wang Q.,Xu M.,Lei Y-N,et al.Use of Cerebral State Index Monitoring to Detect Purposeful Movement in Unsedated Brain-injured Patients[J].JOURNAL OF INTERNATIONAL MEDICAL RESEARCH.2009,37(3):689-696.doi:10.1177/147323000903700312.
APA:
Wang, Q.,Xu, M.,Lei, Y-N,Wang, G-N&Zhou, J-X.(2009).Use of Cerebral State Index Monitoring to Detect Purposeful Movement in Unsedated Brain-injured Patients.JOURNAL OF INTERNATIONAL MEDICAL RESEARCH,37,(3)
MLA:
Wang, Q.,et al."Use of Cerebral State Index Monitoring to Detect Purposeful Movement in Unsedated Brain-injured Patients".JOURNAL OF INTERNATIONAL MEDICAL RESEARCH 37..3(2009):689-696