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三叉神经半月节射频热凝术中患者心率变异性及迷走神经兴奋的相关因素研究 被引量:4

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摘要 局麻下三叉神经半月节射频热凝术中患者因紧张和疼痛通常出现心率增快等交感神经兴奋反应[1],而我们发现少数患者术中出现心率减慢等迷走神经张力增高的表现,严重者可以出现心脏骤停,危及生命.心率变异性(heart rate variability,HRV)是逐次心搏间期之间的微小变异,它的产生主要是由于心脏窦房结自律活动通过交感和迷走神经,神经中枢,压力反射和呼吸活动等因素的调节作用[2],是评定自主神经系统功能敏感的定量指标[3],以HRV评价此术中迷走神经兴奋反应未见报道.本文旨在研究三叉神经半月节射频热凝术中患者HRV及迷走神经兴奋(excitation of vagus nerve,EVN)的相关因素,以期防治.
机构地区 解放军第 解放军第
出处 《中国疼痛医学杂志》 CAS CSCD 2015年第5期377-378,共2页 Chinese Journal of Pain Medicine
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