国际麻醉学与复苏杂志   2025, Issue (5): 0-0
    
α振荡与全身麻醉诱导的意识改变
唐苏, 张军1()
1.复旦大学附属肿瘤医院麻醉科
Alpha Oscillations and the Alteration of Consciousness Induced by General Anesthesia
 全文:
摘要:

全麻药物诱导的神经动力学与皮层的神经振荡密切相关,麻醉过程中的大脑皮层电活动通过脑电图(EEG)得到了广泛的研究。在麻醉状态下,特征性的神经振荡变化为我们提供了一个研究全身麻醉神经机制的切入点。越来越多的证据支持神经振荡与麻醉深度之间存在时-量关系。甚至已有科学家提出,特定脑电振荡模式可作为麻醉诱导无意识的神经生物学标志。α振荡是 8-12 Hz 的大脑神经群节律性电活动,与高级认知功能相关,而α前化则是某些麻醉药物引起的特征性脑电改变。研究神经振荡与全身麻醉的关系将会加深我们对于麻醉诱导意识改变的机制性理解。本综述围绕α振荡的起源,特征,临床常用全身麻醉药的α振荡特征,以及全身麻醉药的可能神经振荡机制进行了系统性综述,为探索意识(无意识)的发生机制提供新的见解。

关键词: α振荡;意识;全身麻醉;丘脑-皮层环路
Abstract:

Cortical neural oscillations and neurodynamics generated by general anesthesia are intimately associated, and electroencephalography (EEG) has been used to study the electrical activity of the cerebral cortex during anesthesia in great detail. Characteristic alterations in neural oscillations during anesthesia provide a perspective into the neural mechanisms of general anesthesia. Increasing evidence supports a quantitative relationship between neural oscillations and the depth of anesthesia. Some scientists have even proposed that specific patterns of brain electrical oscillations could serve as neurobiological markers for unconsciousness induced by anesthesia. Alpha oscillations (8-12 Hz) have been linked to cognitive performance while alpha anteriorization is a characteristic change caused by certain anesthetic drugs. Studying the relationship between neural oscillations and general anesthesia will strengthen our understanding of how anesthesia induces changes in consciousness. This review provides new insights into the investigation of the mechanisms of consciousness (unconsciousness) occurrence by methodically reviewing the origins, properties, and alpha oscillation features of systemic anesthetics that are frequently used in clinical practice. It also discusses the potential neural oscillation mechanisms of systemic anesthetics.

Key words: Alpha oscillations; Consciousness; General anesthesia; Thalamo-cortical loop