脑电双频指数(BIS)在麻醉深度检测中的应用效果探讨  

Application effect of bispectral index (BIS) in the detection of anesthesia depth

作　　者：张琦[1] 巨长桥[1] 薛久巍 胡春欢 

机构地区：[1]牡丹江医学院第二附属医院麻醉科,黑龙江牡丹江157000

出　　处：《中国现代医生》2017年第3期107-109,共3页China Modern Doctor

摘　　要：目的评价脑电双频指数(BIS)在麻醉深度检测中的应用效果。方法采用对照研究,以2015年2月~2016年2月我院普外科收治的择期全麻手术患者作为研究对象,入选对象700例,采用随机数字表达法分组,对照组、观察组各350例,分别采用脑电双频指数(BIS)、常规方法进行麻醉深度检测并指导麻醉管理。结果观察组术中MAP变异指数、HR变异指数、丙泊酚用量、拔除气管导管时间低于对照组,差异有统计学意义(P<0.05);观察组术中呼吸循环紊乱、苏醒延迟、手术麻醉相关并发症合计发生率低于对照组,差异有统计学意义(P<0.05)。结论BIS检测麻醉深度指导麻醉管理,可提高麻醉管理质量,使患者获益。Objective To evaluate the effect of bispectral index （BIS） in the detection of anesthesia depth. Methods A total of 700 patients with elective general anesthesia surgery treatment admitted in our hospital from February 2015 to February 2016 were selected as study subjects using controlled study. The patients were divided into two groups in- cluding control group （n=350） and observation group （n=350） using random number expression grouping. Bispeetral index （BIS） was used in the observation group and routine method was used in control group for anesthesia depth detection and guidance of anesthesia management. Results The MAP mutation index, HR variability index, propofol dosage and the tracheal catheter remove time were shorter in the observation group than those in the control group, and the difference was statistically significant（P〈0.05）. The incidence of intraoperative respiratory and circulatory disturbance, delayed recovery and complications related to operation anesthesia in the observation group were lower than those in the control group, and the difference was statistically significant（P〈0.05）. Conclusion BIS detection of anesthesia depth can guide anesthesia management, which can improve the quality of anesthesia management to benefit patients.

关 键 词：麻醉深度 脑点双频指数 麻醉质量 并发症 苏醒 

分 类 号：R614[医药卫生—麻醉学]