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作 者:杨静[1] 王威[1] 徐龙河[1] 贾宝森[1] 张宏[1]
机构地区:[1]解放军总医院麻醉手术中心,北京市100853
出 处:《中华麻醉学杂志》2009年第9期805-807,共3页Chinese Journal of Anesthesiology
基 金:国家自然科学基金资助项目(30340075)
摘 要:目的探讨异丙酚对大鼠两侧脑半球顶叶、额叶和枕叶皮质脑电互近似熵(C—ApEn)的影响。方法雄性SD大鼠36只,体重300~350g,随机分为3组(n=12),分别于左右顶叶(I组)、额叶(Ⅱ组)和枕叶(Ⅲ组)埋置硬膜外电极,连续监测自发脑电。于大鼠清醒状态下连续记录20min脑电图,取最后2min的脑电图进行后期分析并记为基础值;然后静脉输注异丙酚,初始输注速率为400μg·kg^-1·min^-1,每次递增100μg·kg^-1·min^-1,直至900μg·kg^-1·min^-1,每个速率持续输注10min,取最后2min的脑电图进行后期分析,计算不同异丙酚输注速率时两侧脑半球的C—ApEn。于埋置电极前1周时测定不同异丙酚输注速率时大鼠翻正反射和夹尾反射消失情况。结果所有大鼠异丙酚500~600μg·kg^-1·min^-1时翻正反射消失,800~900μg·kg^-1·min^-1时夹尾反射消失。各组给予异丙酚后的C—ApEn均低于清醒状态时,且随异丙酚剂量的增加C—ApEn逐渐降低(P〈0.05)。结论异丙酚可剂量依赖性地降低两侧脑半球顶叶、额叶和枕叶皮质的信息交流和联系。C—ApEn是与异丙酚麻醉效应相关的敏感的非线性脑电参数。Objective To investigate the effect of propofol on interhemispheric EEG cross-approximate entropy (C-ApEn) in rats. Methods Thirty-six male SD rats weighing 300-350 g were randomly divided into 3 groups (n = 12 each). Pairs of epidural electrodes were implanted in the corresponding areas in the parietal, frontal and occipital cortices respectively. The inffusion rate of propofol was started at 400 μg·kg^-1·min^-1 and increased in 100μg·kg^-1·min^-1 increments every 10 rain until 900 μg·kg^-1·min^-1 . The rats were breathing spontaneously. Interhemispheric EEG C-ApEn of different cortices at different doses were calculated and compared. Loss of rigting reflex and tail-clamping reflex as a function of anesthetic concentration of propofol was tested a week before the epidural electrodes were placed. Results Interhemispheric EEG C-ApEn of the parietal, frontal and occipital cortices decreased dose-dependently as propofol concentration increased. Interhemispheric EEG ApEn of all cortices fell below the awake baseline at 500 and 900μg·kg^-1·min^-1 which also suppressed the righting and tail clamping reflex. Conclusion Propofol decreases the information exchange and connection of the parietal, frontal and occipital cortices in the bilateral hemisphere dose-dependently. C-ApEn is a sensitive non-linear EEG parameter correlated with different anesthetic effects of propofol.
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