聆听母亲心跳对儿童麻醉深度的影响。

Senem Yildirim, Başak Akça, Aysun Ankay Yilbaş, Ayse Heves Karagöz, Özgür Canbay, Nalan Çelebi, Turgay Öcal
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引用次数: 0

摘要

背景:本研究旨在评估聆听母亲心跳和子宫声音对儿童麻醉深度的影响。方法:本研究纳入40例在全身麻醉下进行小手术的儿童,美国麻醉医师协会(ASA)评分为1至2。麻醉用七氟醚诱导,并用七氟醚加氧气在氧化亚氮中维持。患者随机分为两组。第一组的孩子在麻醉诱导过程中通过耳机听母亲的心跳和子宫声音的录音,而第二组的孩子则通过耳机听环境噪音。当停止使用吸入麻醉剂时,音乐也被关掉了。术中监测包括心电图(ECG)记录、心率(HR)、血氧饱和度、无创收缩压(SBP)、舒张压(DBP)、双谱指数系统(BIS)、潮末(ET)七氟烷、ET N2O、ET CO2、SaO2。结果:ⅰ组大鼠双谱指数(BIS)值随时间明显降低(p < 0.05)。虽然第一组的血压和心率较低,但两组之间没有明显差异。虽然第一组拔管时间较短,但总体而言,两组间无显著差异。结论:我们发现,除了音乐之外,暴露于母亲心跳和子宫声音录音的儿童在麻醉下的BIS值较低,这表明麻醉程度较深。
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THE EFFECTS OF LISTENING TO THE MOTHER'S HEARTBEAT ON THE DEPTH OF ANAESTHESIA IN CHILDREN.

Background: The present study aimed to evaluate the effects of listening to the mother's heartbeat and womb sounds on the depth of anaesthesia in children.

Methods: The present study included 40 children scheduled for minor surgery under general anaesthesia, with an American Society of Anaesthesiologists (ASA) status of 1 to 2. Anaesthesia was induced with sevoflurane, and maintained with sevoflurane and oxygen in nitrous oxide. Patients were randomly divided into two groups. The children in Group I were made to listen to recordings of their mothers' heartbeat and womb sounds via earphones during anaesthesia induction, while those in Group II were made to listen to ambient noise via earphones. The music was turned off when the inhalational anaesthetics were discontinued. Intraoperative monitoring included electrocardiogram (ECG) recordings, heart rate (HR), oxygen saturation, non-invasive systolic blood pressure (SBP) and diastolic blood pressure (DBP), bispectral index system (BIS), end-tidal (ET) sevoflurane, ET N2O, ET CO2, and SaO2.

Results: In Group I, there was a significant decrease in bispectral index (BIS) values over time (p < 0.05). Although blood pressure and heart rate were lower in Group I, no significant differences between the groups were detected. While the duration of extubation was shorter in Group I, overall, there was no significant difference between the groups.

Conclusion: We found that children exposed to recordings of their mothers' heartbeat and womb sounds in addition to music had lower BIS values under anaesthesia, which indicates deeper anaesthesia levels.

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来源期刊
Middle East Journal of Anesthesiology
Middle East Journal of Anesthesiology Medicine-Anesthesiology and Pain Medicine
CiteScore
0.20
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0.00%
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期刊介绍: The journal is published three times a year (February, June, and October) and has an Editorial Executive Committee from the department and consultant editors from various Arab countries. A volume consists of six issues. Presently, it is in its 42nd year of publication and is currently in its 19th volume. It has a worldwide circulation and effective March 2008, the MEJA has become an electronic journal. The main objective of the journal is to act as a forum for publication, education, and exchange of opinions, and to promote research and publications of the Middle Eastern heritage of medicine and anesthesia.
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