文件类型：DOC/Microsoft Word 文件大小：字节
心脏手术中脑氧与术后情感障碍的关系
马鑫 张富军 于布为
上海交通大学医学院附属瑞金医院麻醉科 200025
【摘要】目的:研究脑氧饱和度监测在评估术后情感性精神障碍方面的价值.方法:择期行心脏手术患者62例,其中体外循环心脏手术患者40例,非体外循环下冠状动脉搭桥术患者22例.术中监测脑氧饱和度,术前和术后第七天采用Zung氏焦虑及抑郁自评量表对患者进行情感障碍评价.比较脑氧饱和度降低的最低数值及降低的曲线下面积两种方法在评估术后情感障碍方面的不同功效.结果:仅体外循环组9人出现术后轻度情感障碍.其中术中脑氧饱和度曾低于40%有5人,低于50%的曲线下面积大于600的有8人.经统计分析后认为通过外循环期间脑氧饱和度低于50%的曲线下面积作为评估发生术后情感障碍的统计学差异更加显著.结论:脑氧饱和度监测可作为心脏手术中大脑氧供需平衡监测的可靠方法.将脑氧饱和度低于50%的曲线下面积作为评估术后情感障碍的标准更具有临床意义.
【关键词】:脑氧饱和度;情感性精神障碍;心脏手术
The relationship between cerebral oxygen saturation and affective disorder MA Xin ZHANG Fu-jun YU Bu-wei. Department of Anesthesiology, Ruijin Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200025, China
【Abstract】Objective: To evaluate the relationship between cerebral oxygen saturation and affective disorder after cardiac surgery. Methods: 62 patients undergoing elective cardiac surgery were included, among which 40 were with CPB. Cerebral oxygen saturations were monitored during the operation. Affective disorder was assessed by the Self-Rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) 1 day before and 7 days after surgery. Two methods of grouping, with the nadir rSO2 under value and the area of rSO2 under curve, to investigate the differences between each other and which one is better. Result: 9 patients with affective disorder presented after cardiac surgeries with CPB. Among which 5 with the nadir rSO2 under 40% and 8 with the areas of rSO2 <50% more than 600. Analysis showed that compared with the nadir rSO2 under 40%, use the areas of rSO(2) <50% more than 600 obtained more significant results. Conclusion: The cerebral oximeter used in this study has been cleared for assessment of cerebral oxygen saturation in cardiac surgery. The areas of rSO2 <50% can be the predictor for postoperative affective disorder.
【Key words】Cerebral oxygen saturation; Affective disorder; Cardiac surgery
98901
·上一篇：神经科临床实践中的情感障碍
·下一篇：!例双相情感障碍误诊为精神分裂症的体会
马鑫 张富军 于布为
上海交通大学医学院附属瑞金医院麻醉科 200025
【摘要】目的:研究脑氧饱和度监测在评估术后情感性精神障碍方面的价值.方法:择期行心脏手术患者62例,其中体外循环心脏手术患者40例,非体外循环下冠状动脉搭桥术患者22例.术中监测脑氧饱和度,术前和术后第七天采用Zung氏焦虑及抑郁自评量表对患者进行情感障碍评价.比较脑氧饱和度降低的最低数值及降低的曲线下面积两种方法在评估术后情感障碍方面的不同功效.结果:仅体外循环组9人出现术后轻度情感障碍.其中术中脑氧饱和度曾低于40%有5人,低于50%的曲线下面积大于600的有8人.经统计分析后认为通过外循环期间脑氧饱和度低于50%的曲线下面积作为评估发生术后情感障碍的统计学差异更加显著.结论:脑氧饱和度监测可作为心脏手术中大脑氧供需平衡监测的可靠方法.将脑氧饱和度低于50%的曲线下面积作为评估术后情感障碍的标准更具有临床意义.
【关键词】:脑氧饱和度;情感性精神障碍;心脏手术
The relationship between cerebral oxygen saturation and affective disorder MA Xin ZHANG Fu-jun YU Bu-wei. Department of Anesthesiology, Ruijin Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200025, China
【Abstract】Objective: To evaluate the relationship between cerebral oxygen saturation and affective disorder after cardiac surgery. Methods: 62 patients undergoing elective cardiac surgery were included, among which 40 were with CPB. Cerebral oxygen saturations were monitored during the operation. Affective disorder was assessed by the Self-Rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) 1 day before and 7 days after surgery. Two methods of grouping, with the nadir rSO2 under value and the area of rSO2 under curve, to investigate the differences between each other and which one is better. Result: 9 patients with affective disorder presented after cardiac surgeries with CPB. Among which 5 with the nadir rSO2 under 40% and 8 with the areas of rSO2 <50% more than 600. Analysis showed that compared with the nadir rSO2 under 40%, use the areas of rSO(2) <50% more than 600 obtained more significant results. Conclusion: The cerebral oximeter used in this study has been cleared for assessment of cerebral oxygen saturation in cardiac surgery. The areas of rSO2 <50% can be the predictor for postoperative affective disorder.
【Key words】Cerebral oxygen saturation; Affective disorder; Cardiac surgery
98901
·上一篇：神经科临床实践中的情感障碍
·下一篇：!例双相情感障碍误诊为精神分裂症的体会
