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听觉诱发电位指数反馈控制异丙酚靶控麻醉的应用体会 被引量:3

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摘要 目的评价听觉诱发电位指数(AEP-index)指导靶控输注异丙酚维持麻醉的可行性.方法 16例择期手术病人,随机分为对照组和AEP指导组两组(n=8).对照组仅凭临床经验来调节异丙酚的靶浓度值.指导组则通过维持AEP-index值于15~30左右来调节异丙酚的靶浓度值.记录麻醉期间血流动力学、AEP-index及两组各麻醉药的用量.结果 (1)两组血流动力学的变化无显著差异(P>0.05).(2)麻醉深度监测,AEP指导组AEP-index值明显高于对照组(P<0.05).(3)AEP指导组异丙酚的实际用量明显少于对照组(P<0.05).(4)AEP-index能够前瞻性的预测麻醉的减浅.结论 AEP-index通过为麻醉深度监测提供量化指标,可有效应用于异丙酚TCI麻醉.
作者 陈杰 陶国才
出处 《重庆医学》 CAS CSCD 2005年第3期416-417,共2页 Chongqing medicine
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