BIS监测全麻对妇科腹腔镜手术术中知晓和术后恢复的影响  

作　　者：钟剑洪 卫凤英 刘妙雯 

机构地区：[1]佛山市顺德妇幼保健院,广东528300

出　　处：《当代医学》2014年第1期29-30,共2页Contemporary Medicine

基　　金：广东省佛山市卫生局医学科研课题(2011423)

摘　　要：目的探讨脑电双频指数(BIS)监测对静脉复合全麻下妇科腹腔镜手术术中知晓和术后恢复质量的影响。方法将400例患者随机分成A组和B组,各200例。A组根据麻醉医生对患者血流动力学临床表现变化调节用药;B组根据BIS值变化调节用药,记录两组术毕患者呼吸恢复时间,苏醒时间,指令反应恢复时间,拔管时间,定向力恢复,离室时间和手术后伤口的疼痛情况及术中知晓情况。结果 A组术后恢复质量明显不如B组(P>0.05),A组和B组术后知晓率差异无统计学意义(P>0.05)。结论根据BIS值变化调节指导用药相对科学可靠,并且提高术后恢复质量。Objective To explore the impact of BIS monitoring to quality of awareness and postoperative recovery through intravenous anesthesia in gynecologic laparoscopic surgery.Methods 400 patients were divided into group A and group B,every group had 200 cases, A group adjusted dosage according to the change of hemodynamics in patients with clinical manifestations by anesthesiologist; B group adjusted dosage according to the changes in BIS, recording two sets of surgery patients breathing recovery time,awakening time, recovery time of instructious reaction, time to extubation, time of orientatious recovery and time of Perceived pain（minutes）, the time of Leaving the operating room and the situation of wound pain of post-operative and intraoperative awareness.Results postoperative recovery quality of group A was not as good as the group B （P〉0.05）,there are not statistically significant difference between group A and group B.Conclusion It is relative scientific and reliable that adjusting dosage according to changes in BIS and improving the quality of postoperative recovery .

关 键 词：脑电双频指数监测 妇科腹腔镜 术中知晓 术后恢复质量 

分 类 号：R614[医药卫生—麻醉学]