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The Effect of Acupressure on the Bispectral Index and Entropy Parameters in Mentally Handicapped Humans: A Pilot Study

机译:穴位按摩对弱智人群双谱指数和熵参数的影响:一项初步研究

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In the following pilot study, we give the first description of the effect of acupressure on the bispectral index (BIS), response entropy (RE), state entropy (SE), as well as on the emotional state of persons with congenital and acquired mental disabilities. A decrease in BIS readings (n=4) during acupressure was shown: the minimal decrease was 12%, the maximal decrease was 39%. The entropy readings (n=3) showed a minimal decrease of RE at 6% and of SE at 7%. The maximal decrease of RE was 76%, of SE 71%. After cessation of acupressure, all readings returned to almost the level that had been prior to the application of acupressure. All volunteers (n=5) found the effect of the acupressure to be comfortably relaxing; 3 volunteers experienced a feeling of tiredness, and 2 of these 3 entered intermittent short sleep phases. The results of the study presented here indicate that acupressure, when applied at appropriate pressure points, can aid in the peri-interventional phase a reduction of stress for mentally disabled humans. However, further development in the method is necessary for perioperative use, because the suppressive effect on bioelectrical activity remains limited to the active phase of acupressure. Introduction Monitoring of the bispectral index (BIS) offers an infinite number of possibilities to better assess cerebral activity under the influence of narcotics and sedatives (1). BIS readings ranging from 100 to 90 reflect awareness; BIS readings between 90-60, respectively 65, a sedative state. BIS readings under 60 are adequate for anaesthesia during surgery. BIS values < 40 should indicate a deep state of anesthesia (see fig.1).
机译:在以下的初步研究中,我们首先描述了穴位按摩对双谱指数(BIS),反应熵(RE),状态熵(SE)以及先天性和后天性心理人士的情绪状态的影响残疾。针压期间BIS读数下降(n = 4):最小下降为12%,最大下降为39%。熵读数(n = 3)显示RE的最小降低为6%,SE的最小降低为7%。 RE的最大减少为SE的76%,SE为71%。停止穴位按摩后,所有读数几乎恢复到施加穴位按摩之前的水平。所有志愿者(n = 5)都发现穴位按摩的效果令人放松。 3名志愿者感到疲倦,这3名志愿者中有2名进入了间歇性短暂睡眠阶段。此处呈现的研究结果表明,在适当的压力点施加穴位按摩可以在围手术期减少精神障碍者的压力。但是,围手术期使用该方法的进一步发展是必要的,因为对生物电活动的抑制作用仍然局限于穴位按摩的活动期。简介在麻醉药和镇静剂的影响下,双光谱指数(BIS)的监测提供了无限多种可能性,可以更好地评估大脑活动(1)。 BIS读数介于100到90之间,反映了人们的意识; BIS读数为90-60或65,处于镇静状态。低于60的BIS读数足以在手术期间进行麻醉。 BIS值<40应该表明麻醉状态很深(见图1)。

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