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依托咪酯对人定量药物脑电图δ频段功率百分比的影响

The effects of etomidate on the percentage of δ band power of quantitative pharmaco-EEG

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【作者】 刘玲玲王立伟吴克俭戴体俊

【Author】 LIU Lingling1,WANG Liwei2,WU Kejian3,DAI Tijun4*(1.Department of Anesthesiology,The Second Hospital of Xiamen,Xiamen,Fujian 361002,China;2.Department of Anesthesiology,Xuzhou Central Hospital,Xuzhou,Jiangsu 221006,China;3.Department of EEG,Affiliated Hospital of Xuzhou Medical College,Xuzhou,Jiangsu 221002,China;4.Department of Anaesthetic Pharmacology,Xuzhou Medicai College,Xuzhou,Jiangsu 221004,China)

【机构】 厦门市第二医院麻醉科徐州市中心医院麻醉科徐州医学院附属医院脑电图室徐州医学院麻醉学院

【摘要】 目的观察依托咪酯对人定量药物脑电图(quantitative pharmaco-EEG,QPEEG)δ频段功率百分比的影响。方法选择志愿者20人,随机均分为2组,每组10人,男女各半,分别静脉注射0.2 mg/kg或0.3 mg/kg依托咪酯,观察、比较给药前后QPEEG的δ频段功率百分比。结果静脉输注依托咪酯后,两组志愿者QPEEG的δ频段功率百分比均增加(P<0.01),2~5 min达高峰,约10 min恢复。0.3 mg/kg组QPEEGδ频段功率百分比增加幅度大于0.2 mg/kg组(P<0.05或P<0.01)。结论依托咪酯可剂量依赖性地增加人QPEEG的δ频段功率百分比,提示QPEEG的δ频段功率百分比可能成为监测依托咪酯麻醉深度的指标。

【Abstract】 Objective To investigate the effects of etomidate on the percentage of δ band power of quantitative pharmaco-EEG(QPEEG).Methods 20 healthy adults were divided randomly into 2 groups(groupⅠ,Ⅱ) with 10 in each and were given 0.2 mg/kg or 0.3 mg/kg etomidate by iv injections respectively.The EEG samples were obtained before and at regular intervals following the etomidate injections.Using power spectral analysis to check the EEG changes before and after the etomidate iv injections.Results The percentage of δ band power of QPEEG increased significantly in both of the group(P<0.01),and reached its peak 2~5 min,then returned normal in 10 min.The increasing of the percentage of δ band power of QPEEG in group Ⅱ is higher than group Ⅰ(P<0.05,P<0.01).Conclusion With the increasing etomidate dose,the percentage of power progressively increased at δ band,it was suggested that the percentage of power at δ band would be an effective means of anesthesia depth.

【基金】 国家自然科学基金(30872432,30471657,39970715);江苏省社会发展科技计划项目(BS200054);厦门市卫生局医学科研立项项目(WSK0529)
  • 【文献出处】 徐州医学院学报 ,Acta Academiae Medicinae Xuzhou , 编辑部邮箱 ,2009年10期
  • 【分类号】R96
  • 【被引频次】20
  • 【下载频次】92
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