听觉诱发电位指数监测中发生脑电爆发抑制对机体的影响

王煜, 成鹏, 薛荣亮, 张玲, 周雷鸣, 赵军, 赵树立

王煜, 成鹏, 薛荣亮, 张玲, 周雷鸣, 赵军, 赵树立. 听觉诱发电位指数监测中发生脑电爆发抑制对机体的影响[J]. 实用临床医药杂志, 2011, (23): 40-42. DOI: 10.3969/j.issn.1672-2353.2011.23.013
引用本文: 王煜, 成鹏, 薛荣亮, 张玲, 周雷鸣, 赵军, 赵树立. 听觉诱发电位指数监测中发生脑电爆发抑制对机体的影响[J]. 实用临床医药杂志, 2011, (23): 40-42. DOI: 10.3969/j.issn.1672-2353.2011.23.013
WANG Yu, CHENG Peng, XUE Rong-liang, ZHANG Ling, ZHOU Lei-ming, ZHAO Jun, ZHAO Shu-li. The effect of electroencephalogram burst suppression in auditory evoked potential index monitoring to body[J]. Journal of Clinical Medicine in Practice, 2011, (23): 40-42. DOI: 10.3969/j.issn.1672-2353.2011.23.013
Citation: WANG Yu, CHENG Peng, XUE Rong-liang, ZHANG Ling, ZHOU Lei-ming, ZHAO Jun, ZHAO Shu-li. The effect of electroencephalogram burst suppression in auditory evoked potential index monitoring to body[J]. Journal of Clinical Medicine in Practice, 2011, (23): 40-42. DOI: 10.3969/j.issn.1672-2353.2011.23.013

听觉诱发电位指数监测中发生脑电爆发抑制对机体的影响

详细信息
  • 中图分类号: R614.2

The effect of electroencephalogram burst suppression in auditory evoked potential index monitoring to body

  • 摘要: 目的 观察用听觉诱发电位指数(AAI)监测全身麻醉深度时,诱导期出现脑电爆发抑制,对其应激反应及术后全麻复苏的影响,即探讨爆发抑制出现后对机体的近期及远期影响.方法 在全身麻醉下行腹部手术患者40例,根据患者全麻诱导时是否出现爆发抑制分为2组:爆发抑制组(A组)和未爆发抑制组(B组).于各时间点采静脉血测定血糖、皮质醇(Cor)水平.术毕复苏期记录睁眼时间,拔管时间,拔管后1 min的镇静(OAA/S)评分情况.结果 9例患者全麻诱导时出现爆发抑制,占全部患者的22.5%,其中AAI最低值为3,均数为8,其余31例患者诱导期未出现爆发抑制.监测应激指标中,插管即刻(T1)的Cor值A组比B组有显著性降低,T1、手术开始即刻(T2)的血糖值A组比B组有显著性降低.在爆发抑制组内比较,T1、T2时点的血糖值比基础值(T0)比较有降低差异有显著性.术毕复苏指标2组比较差异无显著性.结论 全身麻醉诱导期出现脑电爆发抑制可以短暂的抑制患者的应激水平,0.5h后即可恢复,对术后全麻复苏时间和复苏质量无明显影响.
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出版历程
  • 发布日期:  2012-04-19

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