幕上肿瘤患者肿瘤侧和非肿瘤侧额部脑电双频指数的一致性

发布时间：2018-03-06 10:28

本文选题：幕上肿瘤　切入点：丙泊酚　出处：《临床麻醉学杂志》2017年05期 　论文类型：期刊论文

【摘要】：目的比较神经外科幕上肿瘤切除术中肿瘤侧和非肿瘤侧额部脑电双频指数(bispectral index,BIS)是否具有一致性。方法择期行幕上肿瘤手术患者35例,男16例,女19例,年龄18~65岁,ASAⅡ或Ⅲ级。每位患者肿瘤侧和非肿瘤侧额部同时放置BIS电极。麻醉方法:静脉快速诱导,全凭静脉维持麻醉。记录麻醉手术过程中诱导前期、剪硬膜前、切瘤中、清醒后期四个阶段肿瘤侧和非肿瘤侧的BIS数据行Bland-Altman分析。结果 Bland-Altman分析显示:肿瘤侧与非肿瘤侧额部BIS诱导前平均偏差-0.8(-7.2~5.7);剪硬膜前平均偏差0.6(-8.3~9.5);切瘤期平均偏差1.5(-6.9~9.9);清醒后期平均偏差0.2(-9.3~9.8)。结论肿瘤侧与非肿瘤额部脑电双频指数具有良好的一致性,两者可互换。
[Abstract]:Objective to compare whether bispectral bispectral index (BISs) is consistent in supratentorial tumor resection. Methods 35 patients (16 males and 19 females) undergoing selective supratentorial tumor surgery were enrolled in this study. BIS electrodes were placed in both the tumor side and the frontal part of the non-tumor side of each patient at the same time. Anesthetic methods: rapid induction of vein, total maintenance of anesthesia by vein, recording of preinduction during anaesthesia, predural clipping, and resection of tumor, were performed during anaesthesia operation. Results Bland-Altman analysis was performed on the BIS data of the tumor side and the non-tumor side in the four stages of anaphase. Results Bland-Altman analysis showed that the mean deviation of BIS in the tumor side and the non-tumor side was -0.8 ~ 7.2 ~ 5.7m before induction, the average deviation was 0.6 ~ 8.3ng / 9.5m before dural clipping, the mean deviation was 1.5 ~ 6.99.9m in the stage of tumor resection, and the average deviation was 1.5 ~ 6.99.9m in the stage of tumor resection. Conclusion the bispectral index of EEG in the tumor side and non-tumor frontal region is in good agreement. The two are interchangeable.
【作者单位】：首都医科大学附属北京天坛医院麻醉科;
【基金】：北京市医院管理局“扬帆计划”重点医学方向(ZYLX201708) 首都卫生发展科研专项重点攻关项目(2016-1-20410)
【分类号】：R614;R739.4

【相似文献】