大脑状态指数用于老年患者全麻期间麻醉深度监测的临床价值  

Application of cerebral state index monitoring in the elderly undergoing general anesthesia

作　　者：万翠红[1] 张锦瑞[1] 

机构地区：[1]盱眙县中医院麻醉科,江苏省211700

出　　处：《江苏医药》2012年第11期1314-1316,共3页Jiangsu Medical Journal

摘　　要：目的探讨老年患者全麻期间大脑状态指数(CSI)监测的应用价值。方法全麻患者60例,年龄(70±10)岁,随机均分为两组。A组维持CSI于50±5,以此判断麻醉深度并调整用药;B组根据临床经验判断麻醉深度和用药。记录麻醉前(T0)、插管后3min(T1)、切皮时(T2)、探查期(T3)和术毕(T4)时的MAP、HR、SpO2和CSI值,记录苏醒时间。结果 B组T1-T3的MAP、HR普遍低于T0(P<0.05);而A组波动较小。与A组比较,B组T1、T2时的CSI值偏高(P<0.05),2例术中知晓,8例出现苏醒延迟。结论全麻期间依据CSI值用药能维持血流动力学平稳,避免发生术中知晓。Objective To investigate the application of cerebral state index（CSI） monitoring in the elderly undergoing general anesthesia. Methods Sixty patients aged （70!-10）years old undergoing general anesthesia were equally randomized into two groups. The patients in group A were given anesthetic drugs guided by CSI level of 50 ~ 5 and those in group B according to the clinical experience. The MAP, HR, SpOz and CSI were monitored before induction（T0）, at 3 rain after intubation（T1）, during surgical exploration （T2） and at the end of operation （T3）. The time of awakening from anesthesia was recorded. Results The MAP and HR in group B were lower at T1-T3 than those at T0（P〈0. 05）, which were stable in group A. CSI values at T1 and T2 were higher in group B than those in group A（P^0. 05）. In group B, the awareness during operation occurred in 2 cases and delayed awakening in 8 cases. Conclusion Management of general anesthesia with a guidance of CSI is helpful in maintaining hemodynamic stability and avoiding awareness during operation.

关 键 词：大脑状态指数 全麻 老年 

分 类 号：R614[医药卫生—麻醉学]