ANI监视器的"能量"变量在全身麻醉,镇静和脊髓麻醉期间检测自主状态的改变:一项回顾性队列研究
Alexandre Bourgeois1,2,3, Charlotte Ferran4, Leo Morin5
1Univ Lille, ULR2694 - METRICS: Évaluation des Technologies de santé et des Pratiques médicales, Lille, 59000, France. alexandre.bourgeois@chu-lille.fr.
Journal of clinical monitoring and computing
|November 29, 2025
概括
"能量"指标反映了心率变化,在全身麻醉和镇静诱导后显著下降,表明自主调制减少. 脊柱麻醉显示了轻微的,临床上无关紧要的"能量"增加.
科学领域:
- 麻醉学 麻醉学
- 心血管生理学心血管生理学
- 自主神经系统的自主神经系统
背景情况:
- 止痛感知指数 (ANI) 监测了感知与反感知的平衡.
- 心率变化 (HRV) 调制,称为"能量",是一种与HRV相关的新型指标.
- 了解不同类型麻醉的"能量"变化对于患者监测至关重要.
研究的目的:
- 在全身麻醉,镇静和脊髓麻醉期间评估"能量"HRV指标的变化.
- 评估这些"能量"变异的临床相关性.
主要方法:
- 来自里尔大学医学中心的2226例麻醉病例 (2012-2024) 的回顾性分析.
- 数据包括全身麻醉,脊柱麻醉和镇静,不包括心律不整或缺失基线数据的患者.
- 根据年龄,ASA分数,北上腺素使用和性别调整的线性混合模型在诱导前 (P1),诱导后 (P2) 和术后 (P3) 期间比较了"能量"水平.
主要成果:
- 在一般麻醉 (P1-P2,P1-P3) 和镇静 (P1-P2,P1-P3) 中,诱导后"能量"显著下降.
- 脊髓麻醉显示"能量" (P1-P2,P1-P3) 在统计学上显著但临床上无关的增加.
- 在全身麻醉和镇静期间观察到的"能量"下降表明自主调节减少.
结论:
- 在诱导全身麻醉和镇静后",能量"下降,反映出自主调制减少.
- 在脊髓麻醉期间"能量"的变化没有临床意义.
- "能量"指标可以作为在麻醉期间自主神经系统状态的指标.
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