Wu Fan, Jiang Zhongyi, Bi Hui, Zhang Jun, Li Shitong, Zou Ling
School of Information Science and Engineering, Changzhou University, Changzhou, Jiangsu 213164, P.R.China;Changzhou Key Laboratory of Biomedical Information Technology, Changzhou, Jiangsu 213164, P.R.China.
Department of Anesthesiology, Cancer Hospital of Fudan University, Shanghai 200032, P.R.China.
Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2020 Jun 25;37(3):419-426. doi: 10.7507/1001-5515.201904052.
Anesthesia consciousness monitoring is an important issue in basic neuroscience and clinical applications, which has received extensive attention. In this study, in order to find the indicators for monitoring the state of clinical anesthesia, a total of 14 patients undergoing general anesthesia were collected for 5 minutes resting electroencephalogram data under three states of consciousness (awake, moderate and deep anesthesia). Sparse partial least squares (SPLS) and traditional synchronized likelihood (SL) are used to calculate brain functional connectivity, and the three conscious states before and after anesthesia were distinguished by the connection features. The results show that through the whole brain network analysis, SPLS and traditional SL method have the same trend of network parameters in different states of consciousness, and the results obtained by SPLS method are statistically significant ( <0.05). The connection features obtained by the SPLS method are classified by the support vector machine, and the classification accuracy is 87.93%, which is 7.69% higher than that of the connection feature classification obtained by SL method. The results of this study show that the functional connectivity based on the SPLS method has better performance in distinguishing three kinds of consciousness states, and may provides a new idea for clinical anesthesia monitoring.
麻醉意识监测是基础神经科学和临床应用中的一个重要问题,受到了广泛关注。在本研究中,为了寻找监测临床麻醉状态的指标,共收集了14例接受全身麻醉的患者在清醒、中度麻醉和深度麻醉三种意识状态下5分钟的静息脑电图数据。采用稀疏偏最小二乘法(SPLS)和传统同步似然法(SL)计算脑功能连接,并通过连接特征区分麻醉前后的三种意识状态。结果表明,通过全脑网络分析,SPLS和传统SL方法在不同意识状态下的网络参数具有相同趋势,且SPLS方法得到的结果具有统计学意义(<0.05)。将SPLS方法得到的连接特征用支持向量机进行分类,分类准确率为87.93%,比SL方法得到的连接特征分类准确率高7.69%。本研究结果表明,基于SPLS方法的功能连接在区分三种意识状态方面具有更好的性能,可能为临床麻醉监测提供新思路。