本文選題：腦電雙頻指數(shù)　切入點：麻醉深度　出處：《重慶醫(yī)學(xué)》2016年24期

【摘要】：目的探討腦電雙頻指數(shù)(BIS)監(jiān)測麻醉深度對老年腹腔鏡膽囊切除術(shù)(LC)患者蘇醒質(zhì)量的影響。方法 90例擇期擬行LC的老年患者,分為BIS監(jiān)測組(B組)和傳統(tǒng)經(jīng)驗組(T組),每組45例。兩組均監(jiān)測BIS,B組維持期參考BIS值調(diào)節(jié)給藥,T組根據(jù)血流動力學(xué)和臨床經(jīng)驗調(diào)節(jié)給藥。記錄并比較兩組呼喚睜眼時間(T1)、意識完全恢復(fù)時間(T2)、拔除喉罩時間(T3)及Steward蘇醒評分大于4分的時間(T4)、拔除喉罩后即刻(t0)、1min(t1)、3min(t3)、5min(t5)的改良OAA/S評分及Steward蘇醒評分和蘇醒期躁動及術(shù)后24h術(shù)中知曉情況,統(tǒng)計丙泊酚用量。結(jié)果 B組丙泊酚用量明顯少于T組,T1~T4均明顯縮短于T組(P0.05),t1、t3改良OAA/S評分、t5Steward蘇醒評分均明顯高于T組(P0.05);B組無躁動,T組2例躁動,差異無統(tǒng)計學(xué)意義(P0.05);術(shù)后24h回訪兩組均無術(shù)中知曉。結(jié)論與T組比較,LC應(yīng)用BIS監(jiān)測麻醉深度可減少丙泊酚用量,縮短蘇醒時間,有助于提高老年患者蘇醒質(zhì)量。
[Abstract]:Objective to investigate the effect of bispectral index (BIS) on the recovery quality of elderly patients undergoing laparoscopic cholecystectomy (LC). Two groups were divided into BIS monitoring group (group B) and traditional experience group (group T, 45 cases in each group). Both groups monitored the reference BIS value in maintenance period of BIS-B group to regulate the administration of drugs according to hemodynamics and clinical experience. The improved OAA/S score, Steward recovery score, restlessness in recovery period and awareness in 24 hours after laryngectomy were improved, and the time of recovery of the laryngeal mask and the recovery score of Steward were more than 4, and the time of recovery was more than 4, and immediately after the removal of the laryngeal mask, the modified OAA/S score and the Steward recovery score were obtained immediately after the removal of the laryngeal mask. Results the dosage of propofol in group B was significantly shorter than that in group T, which was significantly shorter than that in group T, which was significantly shorter than that in group T (P 0.05) and the improved OAA/S score of t5Steward in group T was significantly higher than that in group B (n = 2), and that in group T was significantly higher than that in group B (n = 2). There was no significant difference (P 0.05) and no intraoperative knowledge was found in the two groups after 24 hours of follow-up visit. Conclusion compared with group T, BIS monitoring of anesthesia depth in LC can reduce the dosage of propofol, shorten the recovery time, and help to improve the quality of recovery in elderly patients.
【作者單位】： 陜西中醫(yī)藥大學(xué)附屬醫(yī)院第二手術(shù)麻醉科;
【分類號】：R614.2

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