脑电双频指数监测在老年胃肠肿瘤根治性手术全身麻醉中的应用评价

发布时间：2018-02-27 08:37

本文关键词： 脑电双频指数监测老年患者胃肠肿瘤全身麻醉　出处：《现代中西医结合杂志》2016年14期 　论文类型：期刊论文

【摘要】：目的探讨脑电双频指数(BIS)在老年患者胃肠肿瘤根治性手术全身麻醉中监测的准确性及反馈调控输注全麻药物的可操作性。方法选择限期行胃肠肿瘤根治性手术的全身麻醉患者80例,采用随机数字表法分为BIS组和对照组各40例。BIS组在麻醉手术期间监测血压、心电图、BIS值,对照组常规监测血压、心电图,术中各组根据上述各指标的变化来调节静脉给药剂量并调控麻醉深度。记录2组血压、心率及手术期间流泪出汗、皱眉体动情况,以及苏醒时间和术中知晓情况。记录2组患者术毕拔管时间、苏醒室留观时间及丙泊酚、瑞芬太尼的用量。结果BIS组麻醉诱导期血压、心率变化的程度明显大于对照组,术毕拔管时间以及术毕患者恢复室留观时间明显少于对照组,差异均有统计学意义(P均0.05);2组手术时间、麻醉时间比较差异无统计学意义(P0.05),丙泊酚、瑞芬太尼用量比较差异有统计学意义(P0.05)。结论老年胃肠肿瘤根治性手术全身麻醉中应用BIS监测可加快围术期术后苏醒、术后拔管和术后早期认知功能的恢复,并且麻醉平稳,有利于老年患者术中管理及合理用药。
[Abstract]:Objective to investigate the accuracy of BIS in monitoring general anesthesia for gastrointestinal cancer in elderly patients and the maneuverability of feedback control in general anesthesia administration. Methods the patients with gastrointestinal cancer underwent radical surgery with a limited period of time. 80 patients under general anesthesia, The BIS group and the control group were randomly divided into two groups: the control group (n = 40) and the control group (n = 40). Blood pressure and electrocardiogram (ECG) were monitored during anaesthesia and routine monitoring of blood pressure and electrocardiogram (ECG) in the control group. The blood pressure, heart rate, tears, sweating and frowning were recorded in the two groups according to the changes of the above indexes during the operation. The time of recovery, the time of extubation after operation, the time of left ventricular observation and the dosage of propofol and remifentanil were recorded. Results the changes of blood pressure and heart rate in BIS group were significantly higher than those in control group. The time of extubation at the end of operation and the time of recovering ventricular stay after operation were significantly less than those in the control group (P < 0.05), but there was no significant difference in anesthesia time (P 0.05), propofol (P < 0.05), and propofol (P < 0.05). There was significant difference in remifentanil dosage between two groups (P 0.05). Conclusion BIS monitoring can accelerate postoperative recovery, extubation and early cognitive function recovery after radical operation for gastrointestinal neoplasms in elderly patients, and the anesthesia is stable. It is beneficial to the management and rational use of drugs in elderly patients.
【作者单位】：陕西省榆林市第一医院;
【分类号】：R614;R735

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