Effect of inhalational anesthesia on cerebral circulation in Moyamoya disease.
Effect of inhalational anesthesia on cerebral circulation in Moyamoya disease.
复制标题
吸入麻醉对烟雾病脑循环的影响。
DOI：
10.1097/00008506-199901000-00005
复制
发表时间：
1998
影响因子：
3.7
通讯作者：
T. Yoshimoto
中科院分区：
文献类型：
--
作者：
K. Sato;R. Shirane;M. Kato;T. Yoshimoto
为了阐明吸入麻醉对烟雾病患者脑循环的影响，作者在13例接受血管重建手术的患者中，在全静脉和吸入麻醉下，通过近红外光谱法测量了局部皮质血流量（CoBF）、颈静脉球氧饱和度（SjO2）和额叶局部氧饱和度（rSO2）。所有病例吸入麻醉时局部脑皮质血流量均减少，平均值明显降低（P<0.01）。11例患者中有10例患者在吸入麻醉期间血清SjO2水平升高（P<0.01）。11例中9例额叶rSO2下降。烟雾病患者吸入麻醉可降低局部CoBF水平，这种麻醉可引起脑内盗血。然而，全静脉麻醉缺乏这些效果。
To clarify the effects of inhalational anesthesia on cerebral circulation in patients with Moyamoya disease, the authors measured regional cortical blood flow (CoBF), jugular bulb oxygen saturation (SjO2), and frontal regional oxygen saturation (rSO2) by near infra-red spectroscopy under total intravenous and inhalational anesthesia in 13 patients undergoing revascularization procedures. Cortical blood flow decreased in some regions under inhaled anesthesia in all cases, and the mean value decreased significantly (p<0.01). Patients' SjO2 levels rose during inhalational anesthesia in 10 of 11 cases (p<0.01). Frontal rSO2 declined in 9 of 11 cases. Regional CoBF levels may be decreased by inhaled anesthesia in patients with Moyamoya disease, and such anesthesia may provoke intracerebral steal. Total intravenous anesthesia, however, lacked these effects.