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[七氟烷和氧化亚氮麻醉对儿童听觉脑干反应的影响]

[Effect of sevoflurane and nitrous oxide anesthesia on auditory brainstem responses in children].

作者信息

Kitahara Y, Fukatsu O, Koizumi Y

机构信息

Department of Anesthesia, Tokyo Metropolitan Hachioji Children's Hospital.

出版信息

Masui. 1995 Jun;44(6):805-9.

PMID:7637155
Abstract

The effect of sevoflurane and nitrous oxide anesthesia on the auditory brainstem response (ABR) was studied in 70 infants and children ranging in age between 1 month and 15 years. The latencies in ABR under a non-anesthetic state are no longer in the waves originating from the central portion in younger subjects. This tendency was recognized under ketamine anesthesia as control and sevoflurane and nitrous oxide anesthesia as well. Although nitrous oxide 60% and sevoflurane 2.5% increased the latency of wave V and the interpeak interval I-V significantly in all age groups, the changes were small (0.26 +/- 0.16 msec and 0.23 +/- 0.19 msec). The changes in infants were relatively large compared with elder subjects. These concentrations did not decrease the amplitude of waves I, III and V significantly in any age group. Sevoflurane exerted little influence on ABR, and it would be useful for ABR testing in children.

摘要

在70名年龄在1个月至15岁之间的婴幼儿及儿童中,研究了七氟烷和氧化亚氮麻醉对听性脑干反应(ABR)的影响。在非麻醉状态下,较年轻受试者ABR中源于中枢部分的波的潜伏期不再处于正常范围。在作为对照的氯胺酮麻醉以及七氟烷和氧化亚氮麻醉下均观察到了这种趋势。尽管60%氧化亚氮和2.5%七氟烷使所有年龄组的V波潜伏期和I-V峰间期显著延长,但变化较小(分别为0.26±0.16毫秒和0.23±0.19毫秒)。与年长受试者相比,婴幼儿的变化相对较大。这些浓度在任何年龄组中均未显著降低I、III和V波的波幅。七氟烷对ABR影响较小,对儿童ABR测试可能有用。

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