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脑电双频指数反馈调控全麻复合硬膜外麻醉在老年腹部手术中的应用 被引量:2

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摘要 目的研究脑电双频指数指导老年患者硬膜外阻滞复合全麻维持期镇静深度调控的有效性。方法择期老年上腹部手术病人40例,随机分为两组,每组20例,A组为异丙酚静脉全麻联合硬膜外阻滞,B组为异丙酚静脉全麻,两组均行双频谱指数(BIS)监测,使BIS值维持在50-60之间。记录麻醉诱导前(T1)、切皮时(T2)、术中探查时(T3)、手术结束时(T4)、拔管后15min(T5)的循环指标,麻醉药用量、平均拔管时间及术中知晓、术后躁动情况。结果两组患者诱导前和拔管后15min的收缩压(SBP)、舒张压(DBP)和心率(HR)变化组间比较差异无统计学意义,但切皮、术中探查时和手术结束时的SDP、DBP和HR两组间差异有统计学意义(P<0.05),麻醉药用量两组间差异有统计学意义(P<0.05),平均拔管时间两组间差异有统计学意义(P<0.05)。两组患者均无术中知晓发生。结论通过脑电双频指数的指导,可以预防全麻复合硬膜外麻醉的术中知晓,减少异丙酚在老年腹部手术中的用量,从而提早苏醒时间,提高麻醉的安全性。
出处 《海南医学》 CAS 2010年第18期28-29,共2页 Hainan Medical Journal
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