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[麻醉剂诱发的脑电图活动的地形分布]

[Topographical distribution of EEG activity induced by anesthetic agents].

作者信息

Dematons C, Pottemain M, Raggueneau J L, Toubal Z, Dondey M

出版信息

Rev Electroencephalogr Neurophysiol Clin. 1982 Dec;12(4):299-304. doi: 10.1016/s0370-4475(82)80016-6.

Abstract

Having noticed in a wide series of subjects submitted to prolonged anaesthesia that the EEG activities induced by anaesthetic products exhibited transverse topographic distributions (preferentially medial or preferentially lateral) which varied in relation to the product utilised, the authors have verified, in a more limited series of 25 subjects, that benzodiazepines, the targets of which are situated within the axial structures of the CNS, are responsible for EEG modifications which show a maximal amplitude on the parasagittal medial area of the scalp, while propanidide, which mainly affects the cortex of the convexity (i.e. the superior level of the lateral structures of the CNS), induces activities which show a maximal amplitude on the lateral areas of the scalp. The EEG modifications induced by thiopental and fentanyl are also lateralized but more diffuse. These data must be verified by a more precise study of a larger series, taking into account the dose and the speed of injection of the anaesthetic agent.

摘要

在对大量接受长时间麻醉的受试者进行观察时,作者注意到麻醉药物诱发的脑电图(EEG)活动呈现出横向的地形分布(优先为内侧或优先为外侧),且这种分布会因所使用的药物而有所不同。在一个规模较小的由25名受试者组成的队列中,作者进一步证实,作用靶点位于中枢神经系统轴向结构内的苯二氮䓬类药物,会导致EEG改变,其在头皮矢状旁内侧区域显示出最大振幅;而主要影响大脑凸面皮质(即中枢神经系统外侧结构的上层)的丙泮尼地,则诱发在头皮外侧区域显示出最大振幅的活动。硫喷妥钠和芬太尼诱发的EEG改变也呈侧向化,但更为弥散。这些数据必须通过对更大队列进行更精确的研究来验证,同时要考虑麻醉剂的剂量和注射速度。

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