体外循环心脏手术中影响听觉诱发电位相关因素分析.docVIP

体外循环心脏手术影响AEP)应用于体外循环心脏术病人，CPB)中可能影响AEP的因素。择期心脏瓣膜置换术患者0例咪唑安定、乙咪酯、芬太尼、罗库溴铵麻醉前灌注流量AQ)、灌注压PP)、CVP)、Temp1)、Temp2)对AEP的影响。术后访视病人。结果：麻醉诱导后AEP迅速下降P0.01)，切皮锯胸骨、主动脉插管及转机前AEPP0.05)。CPB期间AEP降低并与心脏鼻温最低时达P0.05)。AEP值上升，时恢复CPB前水平P0.05)。AEP能及时准确的反映体外手术各时期的麻醉镇静深度变化，有效预防术中知晓。，温、灌注压。To analyze the effect of the factor related to CPB on AEP. Methods Twenty ASA Ⅱ~Ⅲ patients undergone elective heart valve replacement were studied. The patients were induced with midazolam, etomidate, fentanyl and rocuronium used for neuromuscular block. Anesthesia was maintained with midazolam, fentanyl by target-controlled infusio