Geddes S M, Gray W M, Millar K, Asbury A J
Department of Anaesthesia, Western Infirmary, Glasgow.
Br J Anaesth. 1993 Oct;71(4):512-6. doi: 10.1093/bja/71.4.512.
We have measured the skin conductance response to innocuous auditory stimuli and the anticipatory response before venepuncture in 45 patients receiving diazepam, morphine or no premedication before general anaesthesia. Subjective ratings of anxiety and sedation were measured using visual analogue scales. Skin conductance was less in subjects receiving diazepam than in the other groups, and the pattern of change of skin conductance in this group indicated superior adaptation to the environment during presentation of the innocuous stimuli compared with the other groups. After warning of venepuncture there was a large increase in skin conductance in all groups. There was a significant relationship between anxiety and skin conductance in unpremedicated patients and those receiving diazepam.
我们测量了45例在全身麻醉前接受地西泮、吗啡或未进行术前用药的患者对无害听觉刺激的皮肤电导反应以及静脉穿刺前的预期反应。使用视觉模拟量表测量焦虑和镇静的主观评分。接受地西泮的受试者的皮肤电导低于其他组,并且该组皮肤电导的变化模式表明,与其他组相比,在呈现无害刺激期间对环境的适应性更强。在静脉穿刺警告后,所有组的皮肤电导均大幅增加。未进行术前用药的患者和接受地西泮的患者的焦虑与皮肤电导之间存在显著关系。