BIS监测麻醉深度对老年腹腔镜胆囊切除术患者苏醒质量的影响

发布时间：2018-03-30 08:25

本文选题：脑电双频指数　切入点：麻醉深度　出处：《重庆医学》2016年24期

【摘要】：目的探讨脑电双频指数(BIS)监测麻醉深度对老年腹腔镜胆囊切除术(LC)患者苏醒质量的影响。方法 90例择期拟行LC的老年患者,分为BIS监测组(B组)和传统经验组(T组),每组45例。两组均监测BIS,B组维持期参考BIS值调节给药,T组根据血流动力学和临床经验调节给药。记录并比较两组呼唤睁眼时间(T1)、意识完全恢复时间(T2)、拔除喉罩时间(T3)及Steward苏醒评分大于4分的时间(T4)、拔除喉罩后即刻(t0)、1min(t1)、3min(t3)、5min(t5)的改良OAA/S评分及Steward苏醒评分和苏醒期躁动及术后24h术中知晓情况,统计丙泊酚用量。结果 B组丙泊酚用量明显少于T组,T1~T4均明显缩短于T组(P0.05),t1、t3改良OAA/S评分、t5Steward苏醒评分均明显高于T组(P0.05);B组无躁动,T组2例躁动,差异无统计学意义(P0.05);术后24h回访两组均无术中知晓。结论与T组比较,LC应用BIS监测麻醉深度可减少丙泊酚用量,缩短苏醒时间,有助于提高老年患者苏醒质量。
[Abstract]:Objective to investigate the effect of bispectral index (BIS) on the recovery quality of elderly patients undergoing laparoscopic cholecystectomy (LC). Two groups were divided into BIS monitoring group (group B) and traditional experience group (group T, 45 cases in each group). Both groups monitored the reference BIS value in maintenance period of BIS-B group to regulate the administration of drugs according to hemodynamics and clinical experience. The improved OAA/S score, Steward recovery score, restlessness in recovery period and awareness in 24 hours after laryngectomy were improved, and the time of recovery of the laryngeal mask and the recovery score of Steward were more than 4, and the time of recovery was more than 4, and immediately after the removal of the laryngeal mask, the modified OAA/S score and the Steward recovery score were obtained immediately after the removal of the laryngeal mask. Results the dosage of propofol in group B was significantly shorter than that in group T, which was significantly shorter than that in group T, which was significantly shorter than that in group T (P 0.05) and the improved OAA/S score of t5Steward in group T was significantly higher than that in group B (n = 2), and that in group T was significantly higher than that in group B (n = 2). There was no significant difference (P 0.05) and no intraoperative knowledge was found in the two groups after 24 hours of follow-up visit. Conclusion compared with group T, BIS monitoring of anesthesia depth in LC can reduce the dosage of propofol, shorten the recovery time, and help to improve the quality of recovery in elderly patients.
【作者单位】：陕西中医药大学附属医院第二手术麻醉科;
【分类号】：R614.2

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