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体温过低期间脑电图变化的定量分析。

Quantitative analysis of EEG changes during hypothermia.

作者信息

Levy W J

出版信息

Anesthesiology. 1984 Apr;60(4):291-7. doi: 10.1097/00000542-198404000-00004.

Abstract

Power spectrum analysis of 4-channel EEGs was performed during cooling and rewarming using cardiopulmonary bypass. During rewarming, linear correlations of temperature with the total power and with peak power frequency of the high-frequency band were observed in a significant number of cases (85%, P less than 0.0001 and 76%, P less than 0.002, respectively). The magnitude of these changes were 1,215 microV2/degrees C (+/- 150 [SEM] ) and 0.39 Hz/degrees C (+/- 0.04 [SEM] ). Two other descriptors of the EEG power spectrum (the spectral edge and average frequencies) did not correlate with the temperature changes in a significant number of cases. Changes during cooling followed a similar trend but were more variable, presumably because of other physiologic changes associated with the start of bypass. Knowledge of the relationship of the EEG to temperature should permit distinguishing EEG changes secondary to hypothermia from those caused by acute hypoxia.

摘要

在使用体外循环进行降温及复温过程中,对四通道脑电图(EEG)进行了功率谱分析。在复温过程中,在大量病例中观察到温度与高频带总功率及峰值功率频率呈线性相关(分别为85%,P<0.0001和76%,P<0.002)。这些变化的幅度分别为1215微伏²/摄氏度(±150[标准误])和0.39赫兹/摄氏度(±0.04[标准误])。脑电图功率谱的另外两个描述指标(频谱边缘和平均频率)在大量病例中与温度变化无显著相关性。降温过程中的变化遵循类似趋势,但更具变异性,可能是由于与体外循环开始相关的其他生理变化所致。了解脑电图与温度的关系应有助于区分体温过低继发的脑电图变化与急性缺氧引起的变化。

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