实时大脑状态参数与在全身麻醉下接受牙手术的儿童出现激动之间的相关性分析:探索与牙科相关的影响因素
Lin Li1, Qinghua Meng1, Aiping Tian1
1Department of Anesthesiology, Shanxi Provincial Children's Hospital, Taiyuan, Shanxi Province, People's Republic of China.
International journal of general medicine
|November 26, 2025
概括
在麻醉期间对大脑状态指数 (CSI) 的监测可以预测牙科手术的儿童出现动荡 (EA). 皮下刺激指数 (SCEi) 和焦虑指数 (ANXi) 显示了EA的最佳预测性能.
科学领域:
- 麻醉学 麻醉学
- 儿科手术 儿科手术
- 神经科学是一个神经科学.
背景情况:
- 出现动荡 (EA) 是儿科麻醉的常见并发症.
- 预测EA对于改善儿童手术后恢复至关重要.
- 大脑状态指数 (CSI) 提供实时大脑活动监测.
研究的目的:
- 分析实时大脑状态指数 (CSI) 与经过牙科手术的儿童手术后出现动荡 (EA) 之间的相关性.
- 探索使用CSI在预测外科手术期间EA的可行性.
主要方法:
- 在全身麻醉下进行牙科手术的儿科患者的回顾性病例对照研究.
- 根据EA的存在,患者被分为激动 (A组) 和非激动 (NA组) 组.
- 使用HXD-I多参数监视器监测大脑状态指数 (CSI).
主要成果:
- 40%的儿童经历了EA.
- 催化后皮下刺激指数 (SCEi),皮层刺激指数 (CEi) 和焦虑指数 (ANXi) 在激发组显著更高.
- 兴奋组的记忆指数 (Mi) 在兴奋组显著下降.
- 接收器运行特征 (ROC) 曲线分析显示了EA的SCEi,CEi,ANXi和Mi的良好预测值.
结论:
- 在牙科手术后的儿童中,SCEi,CEi,ANXi和Mi与EA显著相关.
- 对于EA,SCEi和ANXi的预测性表现相对更好.
- 对于预测儿科外科手术期间护理中的EA而言,CSI监测是可行的.
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