异丙酚复合异氟醚麻醉对麻醉深度的影响  

Effect of Propofol and Isofluran Combined Anesthesia on Depth of Anaesthesia

作　　者：孟尽海[1] 王涛[2] 

机构地区：[1]宁夏医学院附属医院麻醉科,银川750004 [2]银川市第一人民医院麻醉科,银川750004

出　　处：《宁夏医学院学报》2006年第3期225-226,共2页Journal of Ningxia Medical College

摘　　要：目的观察异丙酚复合异氟醚麻醉对麻醉深度的影响.方法选择神经外科行择期手术的脑瘤患者16例,ASAⅠ～Ⅱ级,实施异丙酚复合异氟醚麻醉,监测围手术期血压、心率、脑电双频谱指数（BIS）、脉搏血氧饱和度（SPO2）、心率变异性（HRV）.结果患者入室清醒时的BIS为80.13,麻醉诱导过后开始下降,波动于41.81～65.63之间,自麻醉诱导至拔管时的BIS均明显低于诱导前,差异有统计学意义（P＜0.01）.HRV自诱导到拔管各时间点的测定值均明显低于麻醉前,差异有统计学意义（P＜0.01）.结论异丙酚复合异氟醚麻醉对颅脑手术在血压、心率、BIS、SPO2、HRV监测下可以维持稳定的循环,达到满意的BIS、HRV值,获得良好的全身麻醉深度.Objective To study the influence of depth of anesthesia in patients undergoing brain tumor resection with propofol and isofluran combined anesthesia. Methods Sixteen patients, ASA Ⅰ～Ⅱ, undergoing brain tumor resection. The BP,HR,BIS, SPO2 and HRV during operation were observed. Results BIS was 80.13 before Anaesthesia, and decreased after induction changing 41.81 - 65.63. BIS and HRV before induction were significantly lower than those during anesthesia （ P 〈 0.01 ）. Conclusion Propofol and isofluran combined anesthesia can maintain stable circulatory function,obtain satifactory value of BIS and HRV, get favorable depth of anesthesia.

关 键 词：异丙酚 异氟醚 颅脑手术 麻醉深度 

分 类 号：R614[医药卫生—麻醉学]