摘要
目的 :评价全身麻醉联合硬膜外阻滞麻醉中麻醉深度、内脏神经功能及循环稳定性 ,并探讨其临床意义。方法 :选择 2 2例上腹部手术患者 ,随机分为静吸复合全麻联合组 (E组 )和静吸复合全麻醉组 (I组 )。采用HXDI电脑型多功能麻醉监测仪观察脑电双频指数 (BIS)、心率变异性 (HRV)、心率变异指数 (HRVI)及血液动力学的变化。结果 :两组BIS值在各时点无显著差异情况下 ,E组的血液动力学、HRV比I组更稳定 ,E组的HRVI比I组术中各时点小 2 0～ 30分值。结论 :全身麻醉联合硬外阻滞较单纯全麻循环稳定、麻醉完善。
Objective: Our aim was to evaluate the depth of anesthesia, vegetative nerve function and stability of circulation during general anesthesia associated with epidural anesthesia. Methods: Teenty two patients endured epigastric operation were divided tow groups .They were group E (anesthesia with introvenous and inhalation associated with epidural anesthesia ) and group I (anesthesia with introvenous and inhalation ).We observed data of bispectralindex (BIS),hrart rate variabilityl (HRV), heart rate variability indexl(HRVI) and changes of hemodynamic. Results: Under the similar value of BIS in the tow groups, there were more stable hemodynamic value and HRV in group E than group I. HRVI was low 20～30 in group E than that in group I. Conclusion: The more stable hemodynamic value and better anesthesia effectiveness are observed by method of general anesthesia associated with epidural anesthesia than that of general anesthesioa alone.
出处
《中国医科大学学报》
CAS
CSCD
北大核心
2002年第1期61-63,共3页
Journal of China Medical University
关键词
全身麻醉
硬膜外阻滞
脑电
心率变异性
general anesthesia
epidural block
bispecetral index heart rete variability
HRVI
