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[不同氟烷麻醉水平下的人类闪光视觉诱发电位皮层电位]

[Human flash visually evoked cortical potentials under different levels of halothane anesthesia].

作者信息

Osa M, Ando M, Adachi-Usami E

出版信息

Nippon Ganka Gakkai Zasshi. 1989 Feb;93(2):265-70.

PMID:2773709
Abstract

Flash visually evoked cortical potentials (FVECPs) were recorded in 13 surgical patients under different levels of halothane anesthesia, altering the rate of stimulus frequency from 0.5 Hz to 10 Hz. VECPs were obtained in the awake state under premedication with atropine sulphate, and at end-tidal halothane concentrations of 0.38%, 0.75%, 1.13% and 1.5%. The peak latency of P1 (the major positive component with a latency of about 100 msec) progressively increased from 116.7 +/- 3.3 msec (mean +/- SE) in the awake state to 124.3 +/- 6.3 msec, 136.5 +/- 5.2 msec, 151.5 +/- 5.2 msec and 166.3 +/- 8.7 msec with increasing halothane concentration. Significant reductions in P1 amplitude were observed to 2 Hz, 5 Hz and 10 Hz stimuli, whereas there were no significant changes in amplitude to 0.5 Hz and 1 Hz stimuli. P1 amplitude plotted against stimulus frequency had a maximum at 10 Hz in the awake state. This curve gradually and preferentially attenuated at higher frequencies as halothane concentration increased.

摘要

在13名外科手术患者处于不同浓度氟烷麻醉状态下,将刺激频率从0.5赫兹改变至10赫兹,记录闪光视觉诱发电位(FVECP)。在术前用硫酸阿托品预处理的清醒状态下以及呼气末氟烷浓度分别为0.38%、0.75%、1.13%和1.5%时获取视觉诱发电位。P1波峰潜伏期(主要正向成分,潜伏期约100毫秒)在清醒状态下为116.7±3.3毫秒(均值±标准误),随着氟烷浓度增加,分别增至124.3±6.3毫秒、136.5±5.2毫秒、151.5±5.2毫秒和166.3±8.7毫秒。观察到在2赫兹、5赫兹和10赫兹刺激下P1波幅显著降低,而在0.5赫兹和1赫兹刺激下波幅无显著变化。在清醒状态下,以刺激频率为横坐标绘制的P1波幅曲线在10赫兹时达到最大值。随着氟烷浓度增加,该曲线在较高频率时逐渐且优先衰减。

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