• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

丙泊酚-瑞芬太尼麻醉期间手术容积指数与应激激素的相关性

Correlation of surgical pleth index with stress hormones during propofol-remifentanil anaesthesia.

作者信息

Chen Xinzhong, Thee Carsten, Gruenewald Matthias, Ilies Christoph, Höcker Jan, Hanss Robert, Steinfath Markus, Bein Berthold

机构信息

Department of Anaesthesia, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou 310058, China.

出版信息

ScientificWorldJournal. 2012;2012:879158. doi: 10.1100/2012/879158. Epub 2012 Sep 2.

DOI:10.1100/2012/879158
PMID:22973178
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3438742/
Abstract

Eighty patients undergoing elective ear-nose-throat surgery were enrolled in the present study to investigate the relationship between surgical pleth index (SPI) and stress hormones (ACTH, cortisol, epinephrine, norepinephrine) during general anaesthesia which was induced and maintained with propofol and remifentanil using a target-controlled infusion. The study concluded that the SPI had moderate correlation to the stress hormones during general anaesthesia, but no correlation during consciousness. Furthermore, SPI values were able to predict ACTH values with high sensitivity and specificity.

摘要

本研究纳入了80例行择期耳鼻喉手术的患者，以探讨在使用丙泊酚和瑞芬太尼靶控输注诱导和维持全身麻醉期间，手术容积指数（SPI）与应激激素（促肾上腺皮质激素、皮质醇、肾上腺素、去甲肾上腺素）之间的关系。研究得出结论，在全身麻醉期间SPI与应激激素有中度相关性，但在清醒状态下无相关性。此外，SPI值能够以高灵敏度和特异性预测促肾上腺皮质激素值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dc5/3438742/d3ecaed15e08/TSWJ2012-879158.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dc5/3438742/b17922f915c0/TSWJ2012-879158.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dc5/3438742/d3ecaed15e08/TSWJ2012-879158.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dc5/3438742/b17922f915c0/TSWJ2012-879158.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dc5/3438742/d3ecaed15e08/TSWJ2012-879158.002.jpg

相似文献

1
Correlation of surgical pleth index with stress hormones during propofol-remifentanil anaesthesia.丙泊酚-瑞芬太尼麻醉期间手术容积指数与应激激素的相关性
ScientificWorldJournal. 2012;2012:879158. doi: 10.1100/2012/879158. Epub 2012 Sep 2.
2
[Comparison of intraoperative stress hormones release between propofol-remifentanil anesthesia and propofol with epidural anesthesia during gynecological surgery].妇科手术中丙泊酚-瑞芬太尼麻醉与丙泊酚联合硬膜外麻醉术中应激激素释放的比较
Masui. 2011 Apr;60(4):416-24.
3
Surgical pleth index-guided remifentanil administration reduces remifentanil and propofol consumption and shortens recovery times in outpatient anaesthesia.手术 pleth 指数指导下瑞芬太尼给药可减少瑞芬太尼和丙泊酚的消耗，并缩短门诊麻醉的恢复时间。
Br J Anaesth. 2013 Apr;110(4):622-8. doi: 10.1093/bja/aes426. Epub 2012 Dec 5.
4
Impact of bispectral index monitoring on stress response and propofol consumption in patients undergoing coronary artery bypass surgery.双谱指数监测对冠状动脉搭桥手术患者应激反应及丙泊酚用量的影响。
Anesthesiology. 2004 Nov;101(5):1096-104. doi: 10.1097/00000542-200411000-00008.
5
Influence of nociceptive stimulation on analgesia nociception index (ANI) during propofol-remifentanil anaesthesia.伤害性刺激对丙泊酚-瑞芬太尼麻醉时镇痛-伤害觉指数（ANI）的影响。
Br J Anaesth. 2013 Jun;110(6):1024-30. doi: 10.1093/bja/aet019. Epub 2013 Mar 6.
6
Impact of bispectral index for monitoring propofol remifentanil anaesthesia. A randomised clinical trial.脑电双频指数监测丙泊酚瑞芬太尼麻醉的影响。一项随机临床试验。
Acta Anaesthesiol Scand. 2013 Sep;57(8):978-87. doi: 10.1111/aas.12158. Epub 2013 Jul 15.
7
Stress hormones during the wake-up test in scoliosis surgery.脊柱侧弯手术唤醒试验期间的应激激素。
J Clin Anesth. 2003 Feb;15(1):15-8. doi: 10.1016/s0952-8180(02)00474-9.
8
Propofol sparing effect of remifentanil using closed-loop anaesthesia.瑞芬太尼在闭环麻醉中对丙泊酚的节约效应。
Br J Anaesth. 2003 May;90(5):623-9. doi: 10.1093/bja/aeg115.
9
[Effect of ear point embedding on plasma and effect site concentrations of propofol-remifentanil in elderly patients after target-controlled induction].耳穴埋针对老年患者靶控诱导后丙泊酚-瑞芬太尼血浆及效应室浓度的影响
Zhongguo Zhen Jiu. 2017 Aug 12;37(8):869-873. doi: 10.13703/j.0255-2930.2017.08.017.
10
A multicentre, randomised, open-label, controlled trial evaluating equivalence of inhalational and intravenous anaesthesia during elective craniotomy.一项多中心、随机、开放标签、对照试验，评估在择期开颅术中吸入麻醉与静脉麻醉的等效性。
Eur J Anaesthesiol. 2012 Aug;29(8):371-9. doi: 10.1097/EJA.0b013e32835422db.

引用本文的文献

1
Possibility of Using Surgical Pleth Index in Predicting Postoperative Pain in Patients after Vitrectomy Performed under General Anesthesia.在全身麻醉下行玻璃体切除术后患者中使用手术容积指数预测术后疼痛的可能性
Diagnostics (Basel). 2024 Feb 14;14(4):425. doi: 10.3390/diagnostics14040425.
2
Surgical pleth index monitoring in perioperative pain management: usefulness and limitations.手术 pleth 指数监测在围手术期疼痛管理中的应用：有用性和局限性。
Korean J Anesthesiol. 2024 Feb;77(1):31-45. doi: 10.4097/kja.23158. Epub 2023 Mar 17.
3
Intraoperative Assessment of Surgical Stress Response Using Nociception Monitor under General Anesthesia and Postoperative Complications: A Narrative Review.

本文引用的文献

1
Recent advance in patient monitoring.患者监测的最新进展。
Korean J Anesthesiol. 2010 Sep;59(3):144-59. doi: 10.4097/kjae.2010.59.3.144. Epub 2010 Sep 20.
2
Performance of Surgical Stress Index during Sevoflurane-Fentanyl and Isoflurane-Fentanyl Anesthesia.七氟醚-芬太尼和异氟醚-芬太尼麻醉期间手术应激指数的表现
Anesthesiol Res Pract. 2010;2010. doi: 10.1155/2010/810721. Epub 2010 Apr 6.
3
Comparison of surgical stress index-guided analgesia with standard clinical practice during routine general anesthesia: a pilot study.
全身麻醉下使用伤害感受监测仪对手术应激反应的术中评估及术后并发症：一项叙述性综述
J Clin Med. 2022 Oct 14;11(20):6080. doi: 10.3390/jcm11206080.
4
Developing a prediction model for estimating adrenocorticotropic hormone changes in patients undergoing scheduled open hepatectomy.建立一个预测模型，用于估计计划行开放性肝切除术患者的促肾上腺皮质激素变化。
Ann Transl Med. 2022 Jun;10(12):682. doi: 10.21037/atm-22-2276.
5
Multiparametric Monitoring of Hypnosis and Nociception-Antinociception Balance during General Anesthesia-A New Era in Patient Safety Standards and Healthcare Management.全身麻醉期间催眠和伤害感受-抗伤害感受平衡的多参数监测——患者安全标准和医疗保健管理的新时代。
Medicina (Kaunas). 2021 Feb 2;57(2):132. doi: 10.3390/medicina57020132.
6
Comparison of the effect of different infusion rates of sufentanil on surgical stress index during cranial pinning in children under general anaesthesia: a randomized controlled study.不同输注速率的舒芬太尼对全身麻醉下小儿颅骨固定术手术应激指数影响的比较：一项随机对照研究
BMC Anesthesiol. 2017 Dec 8;17(1):167. doi: 10.1186/s12871-017-0448-6.
7
Comparing the Effects of Isoflurane-Sufentanil Anesthesia and Propofol-Sufentanil Anesthesia on Serum Cortisol Levels in Open Heart Surgery with Cardiopulmonary Bypass.比较异氟烷-舒芬太尼麻醉与丙泊酚-舒芬太尼麻醉对体外循环心脏直视手术患者血清皮质醇水平的影响。
Anesth Pain Med. 2016 Nov 21;6(6):e42066. doi: 10.5812/aapm.42066. eCollection 2016 Dec.
8
Comparison of the Analgesic Properties of Sevoflurane and Desflurane Using Surgical Pleth Index at Equi-Minimum Alveolar Concentration.使用等效最低肺泡浓度下手术 pleth 指数比较七氟醚和地氟醚的镇痛特性。
Int J Med Sci. 2017 Aug 18;14(10):994-1001. doi: 10.7150/ijms.20291. eCollection 2017.
9
Implications of Entropy and Surgical Pleth Index-guided general anaesthesia on clinical outcomes in critically ill polytrauma patients. A prospective observational non-randomized single centre study.熵指数和手术容积指数引导下的全身麻醉对重症多发伤患者临床结局的影响。一项前瞻性观察性非随机单中心研究。
J Clin Monit Comput. 2018 Aug;32(4):771-778. doi: 10.1007/s10877-017-0059-2. Epub 2017 Aug 30.
10
Comparison of relative oxycodone consumption in surgical pleth index-guided analgesia versus conventional analgesia during sevoflurane anesthesia: A randomized controlled trial.七氟醚麻醉期间手术患者血流灌注指数引导镇痛与传统镇痛中羟考酮相对用量的比较：一项随机对照试验
Medicine (Baltimore). 2016 Aug;95(35):e4743. doi: 10.1097/MD.0000000000004743.
常规全麻期间手术应激指数指导镇痛与标准临床实践的比较：一项初步研究。
Anesthesiology. 2010 May;112(5):1175-83. doi: 10.1097/ALN.0b013e3181d3d641.
4
Influence of different remifentanil concentrations on the performance of the surgical stress index to detect a standardized painful stimulus during sevoflurane anaesthesia.不同瑞芬太尼浓度对手术应激指数在七氟醚麻醉期间检测标准化疼痛刺激性能的影响。
Br J Anaesth. 2009 Oct;103(4):586-93. doi: 10.1093/bja/aep206. Epub 2009 Jul 31.
5
Surgical stress index as a measure of nociception/antinociception balance during general anesthesia.手术应激指数作为全身麻醉期间伤害感受/抗伤害感受平衡的一种衡量指标。
Acta Anaesthesiol Scand. 2008 Sep;52(8):1038-45. doi: 10.1111/j.1399-6576.2008.01687.x.
6
M-Entropy guidance vs standard practice during propofol-remifentanil anaesthesia: a randomised controlled trial.丙泊酚-瑞芬太尼麻醉期间的M熵引导与标准操作：一项随机对照试验
Anaesthesia. 2007 Dec;62(12):1224-9. doi: 10.1111/j.1365-2044.2007.05252.x.
7
Changes in a surgical stress index in response to standardized pain stimuli during propofol-remifentanil infusion.丙泊酚-瑞芬太尼输注期间，手术应激指数对标准化疼痛刺激的反应变化。
Br J Anaesth. 2007 Sep;99(3):359-67. doi: 10.1093/bja/aem173. Epub 2007 Jul 3.
8
Surgical stress index reflects surgical stress in gynaecological laparoscopic day-case surgery.手术应激指数反映了妇科腹腔镜日间手术中的手术应激情况。
Br J Anaesth. 2007 Apr;98(4):456-61. doi: 10.1093/bja/aem035. Epub 2007 Mar 9.
9
Assessment of surgical stress during general anaesthesia.全身麻醉期间手术应激的评估。
Br J Anaesth. 2007 Apr;98(4):447-55. doi: 10.1093/bja/aem004. Epub 2007 Feb 28.
10
Depth of anaesthesia monitoring: what's available, what's validated and what's next?麻醉深度监测：现有哪些方法、哪些已得到验证以及接下来的发展方向？
Br J Anaesth. 2006 Jul;97(1):85-94. doi: 10.1093/bja/ael120. Epub 2006 Jun 2.