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昆明医科大学第一附属医院麻醉科,昆明 650000
周桂林,Email:Zlgl0926@163.com,研究方向:围术期脑功能保护。
邵建林,Email:shaojianlin@kmmu.edu.cn。
收稿:2025-03-25,
修回:2025-05-07,
录用:2025-05-19,
纸质出版:2025-10-28
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周桂林,邵建林.人工智能用于困难气道预测的研究进展[J].重庆医科大学学报,2025,50(10):1379-1384.
Zhou Guilin,Shao Jianlin.Research advances in artificial intelligence for difficult airway prediction[J].Journal of Chongqing Medical University,2025,50(10):1379-1384.
周桂林,邵建林.人工智能用于困难气道预测的研究进展[J].重庆医科大学学报,2025,50(10):1379-1384. DOI: 10.13406/j.cnki.cyxb.003882.
Zhou Guilin,Shao Jianlin.Research advances in artificial intelligence for difficult airway prediction[J].Journal of Chongqing Medical University,2025,50(10):1379-1384. DOI: 10.13406/j.cnki.cyxb.003882.
气道评估是气道管理的重要前提。困难气道(difficult airway,DA)是麻醉管理中的一大挑战,如果不能提前预测其发生,可能会导致插管失败和低氧血症等严重不良事件。术前准确评估和预测可能出现的DA至关重要。传统的评估系统依赖医生的经验来解释,灵敏度低,而且难以识别隐藏的解剖异常。人工智能(artificial intelligence,AI)依托强大的学习和数据分析能力,通过整合多模态数据,在机器学习(machine learning,ML)和深度学习(deep learning,DL)的基础上构建的DA预测模型,可以大大提高对气道异常解剖结构的识别效率和准确性,明显提升预测效率,从而制定针对性方案,实施有效管理,确保麻醉安全和质量。本文对近年来利用AI进行DA预测的研究进行了综述。
Airway assessment is an important prerequisite for airway management. Difficult airway(DA) is a major challenge in anesthesia management,and failure to predict DA in advance may lead to serious adverse events such as failed intubation and hypoxemia. Accurate assessment and prediction of possible DA before surgery is of vital importance. Traditional assessment systems rely on the experience of the physician experience for interpretation,with a low sensitivity and difficulties in identifying hidden anatomical abnormalities. Relying on powerful learning and data analysis capabilities,artificial intelligence(AI) establishes a predictive model for DA by integrating multimodal data on the basis of machine learning and deep learning,thereby improving the efficiency and accuracy of identifying abnormal anatomical structures in the airway,which helps to significantly improve prediction efficiency,develop a targeted regimen,implement effective management,and ensure the safety and quality of anesthesia. This article reviews the research on the application of AI in predicting DA in recent years.
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