摘要
目的探讨脑电双频指数(BIS)指导气管插管全麻病人拔管的临床意义。方法选择普通全麻病人60例,随机分成对照组(A组)和BIS组(B组)。BIS组设定BIS值(目标BIS值65～69)吸痰拔管,记录术前、术中、拔管BIS值。对照组根据经验吸痰拔管并测定拨管时BIS值。两组均连续记录HR、MAP、SpO2,手术结束至拔管时间,拨管时并发症,手术结束至离开手术室时间。结果两组麻醉药用量无明显差异,BIS组手术结束至拔管时间缩短。结论 BIS指导全麻病人拨管能缩短拔管时间,减少拔管发症,保证围术期安全。
Aim To evaluate the accuracy of bispectral index monitoring extubation during general anesthesia.Methods Sixty ASAⅠorⅡ patients under general anesthesia were randomly divided into two groups（n=30）,control group and BIS group.For BIS group,tracheal extubated when the BIS value is between 65 and 69.The value of BIS was recorded during anesthesia.For control group,the BIS value was recorded when the trachea was extubated according to the experience.HR,MAP,SpO2,the time of tracheal extubation,complications were recorded duing the period of anesthesia.Results There was no significant difference in anesthetics dose.The time of extubation in BIS group was less than that in control group.Conclusion BIS guided anesthesia management of patients can shorten the time of extubation,reduced the complications of extubation and ensure the perioperative safety.
出处
《安徽医药》
CAS
2011年第1期54-55,共2页
Anhui Medical and Pharmaceutical Journal
基金
安徽省阜阳市卫生局基金立项课题(No2008-337)
关键词
脑电双频谱指数
拔管
全身麻醉
bispectral index
extubation
general anesthesia
