【摘要】：目的探討評價(jià)麻醉深度監(jiān)測儀監(jiān)測下不同濃度的七氟醚在老年麻醉中的應(yīng)用效果。方法納入2013年6月~2015年6月本院擬行全身麻醉的老年患者共60例。使七氟醚呼氣末濃度依次穩(wěn)定在最低肺泡氣有效濃度(MAC)0.6 MAC、1.0 MAC、1.3 MAC,各濃度均維持15min,記錄麻醉深度監(jiān)測儀監(jiān)測過程中腦電雙頻指數(shù)(BIS)、動脈血壓、血氧飽和度、體溫。結(jié)果與麻醉前比較,0.6 MAC、1.0 MAC、1.3 MAC的BIS、動脈血壓、體溫值均降低(P0.05);1.0 MAC、1.3 MAC的BIS、動脈血壓、體溫值低于0.6 MAC(P0.05);1.0 MAC、1.3 MAC的術(shù)中BIS、動脈血壓、血氧飽和度、體溫值比較差異無統(tǒng)計(jì)學(xué)意義(P0.05),0.6 MAC、1.0 MAC、1.3 MAC的心率顯著高于麻醉前,術(shù)后動脈血壓顯著低于麻醉前(P0.05);0.6 MAC的術(shù)后清醒拔管時(shí)間、術(shù)后心率均顯著低于1.0 MAC及1.3 MAC,術(shù)后動脈血壓顯著高于1.0 MAC及1.3 MAC(P0.05);不同麻醉深度術(shù)后的血氧飽和度比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論術(shù)中麻醉深度監(jiān)測儀監(jiān)測顯示隨著七氟醚濃度增高BIS、動脈血壓、血氧飽和度、體溫值降低,麻醉深度監(jiān)測儀具有良好的臨床麻醉應(yīng)用前景。
[Abstract]:Objective to evaluate the effect of sevoflurane (sevoflurane) with different concentrations monitored by anaesthesia depth monitor in elderly anesthesia. Methods A total of 60 elderly patients undergoing general anesthesia from June 2013 to June 2015 were included. The end-expiratory concentration of sevoflurane was stabilized at the lowest effective concentration of alveolar air (MAC) 0.6 MAC1. 0 MAC1. 3 MAC3), and each concentration was maintained for 15 min. The arterial blood pressure (BP), oxygen saturation (O 2) and body temperature of EEG were recorded during the monitoring with (BIS),. Results compared with those before anesthesia, the arterial blood pressure, body temperature and arterial blood pressure were decreased (P0.05), arterial blood pressure and body temperature were less than 0.6 MAC (P0.05), arterial blood pressure and blood oxygen saturation were less than 0.6 MAC (P0.05). There was no significant difference in body temperature (P0.05). The heart rate of 0. 0 Marc 1. 0 MAC was significantly higher than that before anesthesia, and the arterial blood pressure after operation was significantly lower than that before anesthesia (P 0. 5), and the time of extubation was significantly lower than that before anesthesia (0. 6 MAC, P < 0. 05). Heart rate was significantly lower than 1. 0 MAC and 1. 3 Marc, arterial blood pressure was significantly higher than 1. 0 MAC and 1. 3 MAC (P0.05). There was no significant difference in blood oxygen saturation after different anesthetic depth (P0.05). Conclusion Intraoperative anesthesia depth monitor showed that the BIS, arterial blood pressure, blood oxygen saturation and body temperature decreased with the increase of sevoflurane concentration.
【作者單位】： 梅州市人民醫(yī)院;
【分類號】：R614

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