摘要
目的探讨脑电双频指数(BIS)监测对老年骨科手术患者麻醉药物用量及术后苏醒的影响。方法选取2017年4月至2019年4月广州市中医医院麻醉科收治的老年骨科手术患者116例,采用随机数字表法分为BIS监测组和常规监测组,每组58例。常规监测组给予常规监测,BIS监测组在常规监测基础上给予BIS监测。比较2组患者丙泊酚、顺苯磺酸阿曲库铵、舒芬太尼用量,以及自主呼吸恢复时间、意识清醒时间、拔管时间等麻醉苏醒指标的差异性。结果BIS监测组患者丙泊酚、顺苯磺酸阿曲库铵、舒芬太尼用量均明显低于常规监测组,自主呼吸恢复时间、意识清醒时间、拔管时间均明显短于常规监测组,差异均有统计学意义(P<0.05)。结论BIS监测可减少老年骨科手术患者术中麻醉药物使用量,缩短术后苏醒时间和拔管时间,麻醉安全性更佳。
Objective To explore the influence of bispetral index(BIS)monitoring on anesthetic drug dosage and postoperative recovery in elderly patients with orthopedic surgery.Methods A total of 116 elderly patients with orthopedic surgery in the Department of Anesthesiology of the Guangzhou Municipal Hospital of Traditional Chinese Medicine from April 2017 to April 2019 were selected and divided into the BIS monitoring group and routine monitoring group according to the random number table method,58 cases in each group.The routine monitoring group was given the routine monitoring,while the BIS monitoring group was given the BIS monitoring under the basis of the routine monitoring.The dosages of propofol,atracurium cis-benzene sulfonate and sufentanil were compared between the two groups.The differences of anesthesia recovery indexes such as spontaneous breathing recovery time,conscious awakening time and extubation time were also compared between the two groups.Results The dosages of propofol,atracurium cis-besylate sulfonate and sufentanil in the BIS monitoring group were significantly lower than those in the routine monitoring group,the recovery time of spontaneous breathing,conscious awakening time and extubation time in the BIS monitoring group were significantly shorter than those in the routine monitoring group,and the differences were statistically significant(P<0.05).Conclusion The BIS monitoring can reduce the use amount of anesthetic drugs in elderly patients undergoing orthopedic surgery,shorten the recovery time and extubation time,and its anesthetic safety is better.
作者
陈陈燕
姚嘉茵
尧新华
劳俊铭
黄嘉瑜
鲁义
CHEN Chenyan;YAO Jiayin;YAN Xinhua;LAO Junming;HUANG Jiayu;LU Yi(Department of Anesthesiology,Guangzhou Municipal Hospital of Traditional Chinese Medicine,Guangzhou,Guangdong 510130,China;Department of Anesthesiology,Tongde Branch Hospital,Municipal Hospital of Traditional Chinese Medicine,Guangzhou,Guangdong 510000,China)
出处
《现代医药卫生》
2020年第10期1469-1470,1474,共3页
Journal of Modern Medicine & Health
基金
广东省中医药局科研项目(20191247)
广东省广州市卫生健康委员会科技项目(20192A011014)。
关键词
医院骨科
全身麻醉
脑电双频指数
术后苏醒
老年人
Department of orthopedics
General anesthesia
Bispetral index
Postoperative recovery
Aged
