麻醉深度监测方法的实验研究

Wang Shengjun, Deng Qinkai
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引用次数: 1

摘要

麻醉深度监测的主要方法是基于脑电图和AEP测量,重要参数是BIS和AEP指数。每一种都有其优势。BIS是由脑电信号在时域、频域和双谱域的子参数以非线性函数的形式构成的。设置函数的过程非常复杂。这意味着它的稳定性不是很好。AEP指数比较可靠,但单调的咔哒声刺激会使患者烦躁不安。因此,有必要研究BIS子参数与AEP指标之间的一致性和互补性。这正是本文的目标。根据临床需要,我们开发了一种新的仪器来进行研究。该样机由单片机模块和PC机两部分组成。单片机模块是硬件的核心,负责刺激和数据采集,唤起听觉电位,采集脑电图和心电信号,并与上位机通信。利用虚拟仪器工作台lab VIEW设计PC端操作软件,并在Matlab上完成信号处理。实验方法:10只家兔,麻醉剂量为3%戊巴比醇钠,剂量分别为0.5、0.25、0.25、0.25ml/kg,间隔20分钟,每次注射后5分钟记录EEG和AEP。最后一次注射后每隔10分钟记录脑电图和AEP,共记录3次。结果:经信号处理后,BIS子参数与AEP指标的一致性较好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Experiment research on the method of monitoring the depth of anesthesia
The main methods to monitor the depth of anaesthesia are based on EEG and AEP measurement, and the important parameters are BIS and AEP index. Each of them has its predominance. BIS is formed by the subparameters of EEG in time domain, frequency domain and bispectrum domain by means of a nonlinear function. The process to setup the function is very complicated. This implies that its stability is not very good. AEP index is rather reliable, but the monotone click stimulus would make patients dysphoric. So it's necessary to study the consistency and complementarity between BIS's subparameters and AEP index. This is just the goal of this paper. Based on the clinic requirement, we develop a new instrument to do research. The prototype instrument is composed of two parts: SCM module and PC. The SCM module is the heart of the hardware, in charge of stimulation and data acquisition, which evokes the auditory potentials, sampling the EEG and AEP signal and communicating with PC. The operating software on PC is designed by the virtual instrument workbench-Lab VIEW, and the signal processing is completed on Matlab. Experiment method: 10 rabbits, the anaesthetic is 3% pentobarbitol sodium, the dosage is 0.5, 0.25, 0.25, 0.25ml/kg, the interval is 20 minutes, EEG and AEP is recorded 5 minutes after every injection. Then EEG and AEP is recorded with the interval of 10 minutes after the last injection, and total number is 3. Result: After the signal processing, it turns out that the consistency between BIS subparameters and AEP index is rather good.
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