脑电双频指数在心脏手术患者麻醉中的应用研究

发布时间：2017-12-26 15:50

本文关键词：脑电双频指数在心脏手术患者麻醉中的应用研究　出处：《现代中西医结合杂志》2016年05期 　论文类型：期刊论文

【摘要】：目的探讨脑电双频指数(BIS)在心脏手术麻醉中的应用效果。方法选取80例心脏手术患者并随机均分为观察组和对照组观察组采用BIS监测麻醉深度对照组参照患者血流动力学参数及体征调控麻醉深度,比较2组麻醉诱导前(t_0)、麻醉诱导后(t_1)、气管插管时(t_2)、开始切皮时(t_3)、术毕(t_4)及拔管气管插管时(t_5)心率(HR)、平均动脉压(MAP)及BIS变化,记录术中麻醉药物用量及术后拔管时间、复苏室停留时间、清醒时间。结果 2组不同时刻HR及t_0、t_5时MAP和BIS比较差异均无统计学意义(P均0.05);观察组t_1、t_2、t_3及t_4时BIS明显高于对照组,MAP低于对照组差异均有统计学意义(P均0.05);观察组术中芬太尼、丙泊酚及维库溴铵使用量均明显少于对照组,术后拔管时间、复苏室停留时间及清醒时间均明显少于对照组差异均有统计学意义(P均0.05);观察组不良反应发生率明显低于对照组(P0.05)。结论心脏手术中采用脑电双频指数监测麻醉深度有助于稳定血流动力学指标减少麻醉药物使用量促进患者术后康复。
[Abstract] Objective To investigate the application of bispectral index (BIS) in cardiac anaesthesia. Methods 80 cases of cardiac surgery patients were randomly divided into observation group and control group, the observation group was treated with BIS in monitoring the depth of anesthesia control group patients according to hemodynamic parameters and signs to control the depth of anesthesia, compared 2 groups before induction of anesthesia (t_0), after induction of anesthesia (t_1), tracheal intubation tube (t_2), began to cut the skin when (t_3) and the end of operation (t_4) and extubation tracheal intubation (t_5) and heart rate (HR), mean arterial pressure (MAP) and BIS changes, record the amount of narcotic drugs during operation and postoperative extubation time, recovery room time, awake time. Results the 2 groups of t_0, t_5 and HR at different time when MAP and BIS were not statistically significant (P < 0.05); the observation group t_1, t_2, t_3 and t_4 BIS were significantly higher than the control group, MAP was lower than the control group differences were statistically significant (P < 0.05); observation of fentanyl, propofol and vecuronium use were significantly less than the control group during operation, postoperative extubation were significantly less than the control group there were statistically significant differences in time, recovery room residence time and awake time (P 0.05); the incidence of adverse reactions was significantly lower than the control group (P0.05). Conclusion monitoring the depth of anesthesia by bispectral index during cardiac surgery is helpful to stabilize hemodynamic indexes, reduce the dosage of narcotic drugs and promote postoperative rehabilitation.
【作者单位】：海南省三亚市人民医院;
【分类号】：R614
【正文快照】： 心脏手术期间气管插管、手术操作及体外循环等过程均规监测患者血流动力学参数变化并结合临床表现判断麻醉效可导致机体出现强烈应激反应,对机体造成重大损伤。此外,果,麻醉师倾向于根据个人经验决定麻醉药追加剂量以维持多数患者术前伴有不同程度的心功能减退或心力衰竭,因此

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