意识指数和脑电双频谱指数监测在小儿全身麻醉诱导中的应用

发布时间：2018-01-14 08:42

本文关键词：意识指数和脑电双频谱指数监测在小儿全身麻醉诱导中的应用　出处：《中华实用诊断与治疗杂志》2015年06期 　论文类型：期刊论文

【摘要】：目的探讨意识指数(index of consciousness,IoC)在小儿全身麻醉诱导时镇静深度监测中的应用价值。方法 25例择期手术患儿,应用丙泊酚等进行麻醉诱导,麻醉诱导期间测试患儿意识反应,镇静深度采用镇静/警觉评分(observers assessment of alertness/sedation scale,OAA/S),记录OAA/S评分即刻的IoC,并与脑电双频谱指数(bispectral index,BIS)进行比较。结果25例中有效数据17例;OAA/S为0分时IoC值(44.82±8.47)、BIS值(39.00±14.44)均低于OAA/S为5分时(IoC值为96.65±2.64,BIS值为90.24±5.83),差异有统计学意义(P0.01),且以上2个时间点IoC值均大于BIS值(P0.05);OAA/S与IoC(r=0.871,P=0.000)、BIS(r=0.864,P=0.000)以及IoC与BIS(r=0.805,P=0.002)均呈正相关。结论 IoC值可反映丙泊酚麻醉诱导期间小儿镇静深度。
[Abstract]:Objective to investigate the awareness index (index of consciousness, IoC) in pediatric general anesthesia application value in monitoring the depth of sedation during induction. Methods 25 patients undergoing elective surgery were used propofol for anesthesia induction, during anesthesia induction test of children with the awareness of reaction, the depth of sedation using sedation / alertness score (observers assessment of alertness/sedation scale, OAA/S). Record the OAA/S score and the IoC immediately, and bispectral index (bispectral, index, BIS) were compared. Results 17 cases of effective data in 25 cases of OAA/S was 0; the IoC value (44.82 + 8.47), BIS (39 + 14.44) were lower than OAA/S for 5 points (IoC = 96.65 + 2.64, BIS = 90.24 + 5.83), the difference was statistically significant (P0.01), and more than 2 time points, IoC values were greater than the BIS value (P0.05); OAA/S and IoC (r=0.871, P=0.000), BIS (r=0.864, P=0.000) and IoC BIS (r=0.805, P=0.002) were Cheng Zhengxiang Conclusion the IoC value can reflect the sedative depth of children during the induction of propofol during the induction of anesthesia.

【作者单位】：上海市儿童医院;上海交通大学附属儿童医院麻醉科;
【分类号】：R726.1
【正文快照】： 麻醉深度的监测与调控是保证麻醉安全的重要措施,因小儿大脑尚未发育成熟,麻醉过程中合理控制麻醉深度非常重要。脑电双频谱指数(bispectral index,BIS)是用于监测药物镇静深度的脑电参数,是目前公认的监测方法。意识指数(index of consciousness,IoC)是反映大脑意识状态的一

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