全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...
华西医学  2013 

脑双频谱指数在改良电休克治疗中的应用

DOI: 10.7507/1002-0179.20130171, PP. 533-536

Keywords: 脑双频谱指数,改良电休克治疗,丙泊酚,动作发作时间

Full-Text   Cite this paper   Add to My Lib

Abstract:

目的 探讨在丙泊酚诱导麻醉的改良电休克治疗中脑双频谱指数(BIS)与动作发作时间的关系,以及其他因素对电休克动作发作时间的影响。方法 2012年4月-5月,记录28名患者的107次治疗中的不同时刻脑双频谱指数(BIS)值诱导前、睫毛反射消失时、治疗前即刻、动作发作结束即刻、动作发作结束后60s)、麻醉药物剂量、动作发作时间及治疗不良反应,并根据动作发作时间将治疗分为A组(治疗无效组,动作发作时间<17s)和B组(治疗有效组,动作发作时间≥17s)。探讨不同时刻BIS值与癫痫发作时间的关系并比较A、B组之间BIS值、麻醉药物剂量差异。结果 两组间睫毛反射消失时及治疗前即刻BIS值差异有统计学意义(P<0.05)。动作发作时间与治疗前即刻BIS值呈正相关(r=0.245,P=0.012),与治疗次数呈负相关(r=?0.283,P=0.004)。结论 治疗前即刻BIS值与动作发作时间呈正相关,因此,此时的BIS值也许可以作为预测动作发作时间长短的指标。

References

[1]  [ 1 ] Ding ZN, White PF. Anesthesia for electroconvulsive therapy[J]. Anesth Analg, 2002, 94 (5): 1351-1364.
[2]  [ 2 ] Eranti SV, Mogg AJ, Pluck GC, et al. Methohexitone, propofol and etomidate in electroconvulsive therapy for depression: a naturalistic comparison study[J]. J Affect Disord, 2009, 113(1-2): 165-171.
[3]  [ 3 ] Tan HL, Lee CY. Comparison between the effects of propofol and etomidate on motor and electroencephalogram seizure duration during electroconvulsive therapy[J]. Anaesth Intensive Care, 2009, 37(5): 807-814.
[4]  [ 4 ] Gazdag G, Kocsis N, Tolna J, et al. Etomidate Versus Propofol for electroconvulsive therapy in patients with schizophrenia[J]. J ECT, 2004, 20(4): 225-229.
[5]  [ 5 ] Erdil F, Demirbilek S, Begec Z, et al. Effects of propofol or etomidate on QT interval during electroconvulsive therapy[J]. J ECT, 2009, 25(3): 174-177.
[6]  [ 6 ] Avramov MN, Husain MM, White PF. The comparative effects of methohexital, propofol, and etomidate for electroconvulsive therapy[J]. Anesth Analg, 1995, 81(3): 596-602.
[7]  [ 7 ] Bauer J, Hageman I, Dam H, et al. Comparison of propofol and thiopental as anesthetic agents for electroconvulsive therapy: a randomized, blinded comparison of seizure duration, stimulus charge, clinical effect, and cognitive side effects[J]. J ECT, 2009, 25(2): 85-90.
[8]  [ 8 ] 姜玮, 任艳萍, 汤宜朗, 等. 改良电休克治疗中麻醉药和肌松药的使用种类和剂量[J]. 中国心理卫生杂志, 2011, 25 (11) : 835-839.
[9]  [ 9 ] Geretsegger C, Nickel M, Judendorfer B, et al. Propofol and methohexital as anesthetic agents for electroconvulsive therapy: a randomized, double-blind comparison of electroconvulsive therapy seizure quality, therapeutic efficacy, and cognitive performance[J]. J ECT, 2007, 23(4): 239-243.
[10]   Cohen Y, Feldinger E, Ogorek D, et al. Increased propofol requirement during succeeding administrations for electroconvulsive therapy[J]. J Clin Anesth, 2004, 16(4): 282-285.
[11]   岳云, 吴新民, 罗艾伦, 等. 摩根临床麻醉学[M]. 4版. 北京: 人民卫生出版社, 2007: 123-125.
[12]   Nishihara F, Saito S. Pre-ictal bispectral index has a positive correlation with seizure duration during electroconvulsive therapy[J]. Anesth Analg, 2002, 94(5): 1249-1252.
[13]   Gombar S, Aggarwal D, Khanna AK, et al. The bispectral electroencephalogram during modified electroconvulsive therapy under propofol anesthesia: relation with seizure duration and awakening[J]. J ECT, 2011, 27(2): 114-118.
[14]   Dahaba AA. Different conditions that could result in the bispectral index indicating an incorrect hypnotic state[J]. Anesth Analg, 2005, 101(3): 765-773.
[15]   Thimmaiah R, Thirthalli J, Ramesh VJ, et al. Effect of a course of electroconvulsive therapy on interictal bispectral index values: a prospective study[J]. J ECT, 2012, 28(1): 20-23.

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133