Heart rate variability during abdominal surgical manipulation under general and epidural anesthesia

被引：7
作者：
Hirata, Naoyuki [1 ,2 ]
Miyashita, Ryo [2 ]
Maruyama, Daisuke [2 ]
Kawaguchi, Ryoichi [2 ]
Shimizu, Hitoshi [1 ]
Yamakage, Michiaki [2 ]
机构：
[1] Obihiro Kyokai Hosp, Dept Anesthesiol, Obihiro, Hokkaido, Japan
[2] Sapporo Med Univ, Dept Anesthesiol, Sch Med, Chuo Ku, Sapporo, Hokkaido 0608543, Japan
来源：
JOURNAL OF ANESTHESIA | 2012年 / 26卷 / 06期
关键词：
Heart rate variability; Vagal reflex; Autonomic nervous activity; MARKER;
D O I：
10.1007/s00540-012-1431-5
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
Anesthesiologists occasionally encounter bradycardia during abdominal surgery and recognize the phenomenon as a vagal reflex. The presence of bradycardia implies efferent vagal dominance in the autonomic nervous system during this vagal reflex. In this study, we investigated the effect of abdominal surgical manipulation on autonomic nervous activity, using heart rate variability analysis. Abdominal surgical manipulation decreased the heart rate and enhanced not only the high-frequency power (0.15-0.4 Hz) but also the low-frequency power (0.04-0.15 Hz) calculated from the power spectral density of heart rate variability. Our results suggest that both vagal tone and sympathetic tone could be activated during the vagal reflex caused by abdominal surgical manipulation.
引用
收藏
页码：900 / 904
页数：5
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