【摘要】：目的探討腦電雙頻指數(shù)(BIS)監(jiān)測對七氟醚吸入麻醉復(fù)合臂叢神經(jīng)阻滯在小兒上肢手術(shù)的指導(dǎo)意義。方法將擇期行上肢手術(shù)小兒50例,隨機(jī)分為BIS反饋調(diào)控七氟醚組(Ⅰ組)和根據(jù)經(jīng)驗(yàn)用藥組(Ⅱ組),每組25例,Ⅰ組在BIS監(jiān)測下指導(dǎo)術(shù)中七氟醚吸入麻醉維持BIS在(65±5),Ⅱ組吸入七氟醚誘導(dǎo)小兒睫毛反射消失后依臨床經(jīng)驗(yàn)來調(diào)節(jié)七氟醚吸入濃度。兩組小兒均于麻醉誘導(dǎo)完成后行超聲引導(dǎo)下肌間溝臂叢神經(jīng)阻滯。觀察并記錄各時(shí)間點(diǎn)MAP、HR、Sa O2,記錄每5min BIS值,觀察兩組小兒麻醉誘導(dǎo)時(shí)間、蘇醒時(shí)間、恢復(fù)室停留時(shí)間及七氟醚用量,追蹤觀察術(shù)后小兒家屬滿意程度。結(jié)果兩組小兒麻醉開始時(shí)T1、出恢復(fù)室時(shí)T6,MAP、HR、Sa O2、BIS,組間比較差異無統(tǒng)計(jì)學(xué)意義(P0.05),誘導(dǎo)完成時(shí)T2、神經(jīng)阻滯時(shí)T3、麻醉結(jié)束時(shí)T4、蘇醒時(shí)T5,Ⅰ組BIS值比Ⅱ組高,Ⅱ組MAP、HR變化大于Ⅰ組,差異有統(tǒng)計(jì)學(xué)意義(P0.05),麻醉誘導(dǎo)時(shí)間T1-T2、蘇醒時(shí)間T4-T5、恢復(fù)室停留時(shí)間T5-T6及七氟醚用量Ⅰ組少于Ⅱ組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論 BIS指導(dǎo)下七氟醚吸入麻醉復(fù)合臂叢神經(jīng)阻滯,可降低七氟醚吸入量,有助于判斷全麻深度,有利于小兒術(shù)后的恢復(fù)。
[Abstract]:Objective to investigate the significance of bispectral index (BIS) monitoring for sevoflurane inhalation anesthesia combined with brachial plexus block in upper limb surgery in children. Methods Fifty children undergoing upper limb operation were randomly divided into BIS feedback control sevoflurane group (group 鈪，

本文編號：2211607