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关于若干脑电图参数作为麻醉状态指标的研究——中位数:麻醉深度的一种定量测量方法(作者译)

[Investigations on several EEG-parameters as indicators of the state of anaesthesia the median - a quantitative measure of the depth of anaesthesia (author's transl)].

作者信息

Schwilden H, Stoeckel H

出版信息

Anasth Intensivther Notfallmed. 1980 Aug;15(4):279-86.

PMID:7416445
Abstract

32 cases with Etomidate-, Ethrane- and Fentanyl-application have been investigated in order to evaluate a common EEG-index indicating the depth of anaesthesia. The following parameters are regarded: the mean amplitude, the relative parts of the powerspectrum for the frequency bands 0.5--2 Hz, 2--5 Hz, 5--8 Hz, 8--13 Hz, 13--24 Hz, alpha-delta-index, the beta-delta-index, the median of the powerspectrum. The median of the powerspectrum gains the best correlation to anaesthetic depth for adequate anaesthesia, which is determined by the common clinical vegetative signs. Anaesthesia which is unnecessarily deep is better indicated by a biparametric representation of both median and mean amplitude.

摘要

为了评估一种指示麻醉深度的通用脑电图指标,对32例使用依托咪酯、恩氟烷和芬太尼的病例进行了研究。考虑了以下参数:平均振幅、0.5 - 2Hz、2 - 5Hz、5 - 8Hz、8 - 13Hz、13 - 24Hz频段的功率谱相对部分、α-δ指数、β-δ指数、功率谱中位数。对于适当麻醉,功率谱中位数与麻醉深度的相关性最佳,麻醉深度由常见的临床植物体征确定。对于过深的不必要麻醉,通过中位数和平均振幅的双参数表示能更好地显示。

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