灌注指数对伤害性刺激反应的临床监测作用.pdfVIP

2010 33 2 151 朱晓霞 张富军 于布为 ! 36 , 3 : ∀ , 1g/ kg; #, 3g/ kg; ∃, 5 g/ kg 0. 1 mg/ kg 3 g/ mL , 3.9 g/ mL ( 123 g/ mL) ( 103060 s) ( 103060120 s) , (H R) ( MAP) ( BIS) ( PI) , PI , HR , M AP (43% 7) s ( 17 % 5) s , PI , 89% (34/ 36) PI 20% , 31 PI 30% PI 20% H R 20% (54% , 20/ 36, P = 0.002) , ( 100%) PI 20% , 35 PI 30% PI 20% MAP 20% (36% , 13/ 36,P 0.01) PI ! ; ; ; Perf usion index f or clinical monit oring of noxious st imuli ZHU Xiaoxia , ZHANG Fujun, YU Buwei. Department of Anesthesiology, Ruijin Hospital, Shanghai Jiaotong University School of Medicine , Shanghai 200025, China Corresponding author: YU Buwei. Email : yubuwei @yahoo .com .cn Abst ract! Object ive To assess the role of perfusion index in monitoring noxious stimuli duri ng total intravenous general anest hesia. Met hods Thi rtysix pat ients undergoing gynecological celiotomy w ere randomly assigned to three groups according to different dosages of f entany l used ( n = 12) Group ∀ , fentanyl 1 g/ kg; Group #, fentanyl 3 g/ kg, and Group ∃, f entanyl 5 g/ kg. Anesthesia w as induced by targetcont rolled inf usion ( TCI) of propofol, different doses of fentanyl and 0. 1 mg/ kg vecuroni um. Tracheal int ubation was performed w hen effect compart ment concent rat ion ( ECC) of propofol reached 3 g/ mL ( the beginni ng of tracheal int ubation) and skin inc ision w as done when reached 3. 9 g/ mL ( the beginni ng of i ncision) . The heart rate ( HR) , mean arterial pressure ( MAP) , bispectual index and perfusion index were record at t he fol lowi ng t ime points base