国产麻醉深度监测仪和脑电双频指数监测仪在腹腔镜手术中的一致性分析  

Consistency analysis of domestic anesthesia depth monitor Ai index and bispectral index monitoring in the laparoscopic surgery

作　　者：陶守君[1] 雷卫平[1] 黄娅琴 孙建良[1] 温小红[2] TAO Shoujun;LEI Weiping;HUANG Yaqin;SUN Jianliang;WEN Xiaohong(Department of Anesthesiology,the First Affiliated Hospital Zhejiang University,Hangzhou 310003,China)

机构地区：[1]杭州市第一人民医院麻醉科,310003 [2]浙江大学医学院附属第一医院麻醉科

出　　处：《临床麻醉学杂志》2018年第9期878-881,共4页Journal of Clinical Anesthesiology

基　　金：杭州市卫生科技计划项目(2018A17);浙江省卫生科技计划项目(2015ZDA024)

摘　　要：目的比较国产麻醉深度监测(Ai,ConView YY-105型)和脑电双频指数(bispectral index,BIS)监测在腹腔镜手术中的一致性。方法择期腹腔镜手术25例,男9例,女16例,年龄20~50岁,ASAⅠ或Ⅱ级,每例患者均同时监测Ai指数和BIS指数,常规麻醉诱导插管,术中以静-吸复合麻醉维持。记录诱导前、插管成功即刻、插管后5min、气腹完成即刻、拔管前即刻、拔管后5min的BIS指数和Ai指数,采用Bland-Altman一致性分析两个指数。结果 Bland-Altman一致性分析结果显示,仅插管完成即刻Ai指数和BIS值差值均数差异较大为-17.3,其余时点仅1例(4%)在一致性范围外。结论国产麻醉深度监测仪和BIS监测一致性较好,均能客观反映患者实时麻醉深度。Objective To compare the difference between the domestic monitor of Ai （type specification of ConView YY-105） and bispectral index（BIS）in depth of anesthesia of the same patient.Methods Twenty-five patients who performed elective laparoscopic surgeries,9 males,16 females,aged 20-50 years,falling into ASA physical statusⅠ orⅡ,were monitored Ai index and the BIS after receiving intravenous and inhaling endothracheal intubation general anesthesia,Ai index and BIS were recorded before induction,upon completion of intubation,5 min after intubation,completion of pneumoperitoneum,before extubation and 5 min after extubation.Results Bland-Altman analysis showed that the mean the difference between Ai and BIS at completing the intubation was-17.3,only 1 case （4%） fell outside the consistency;there was a good correlation between the Ai index and the BIS value.Conclusion The Ai index of domestic anesthesia depth monitor is in good agreement with BIS,and can reflect the depth of anesthesia just as BIS.

关 键 词：Ai指数 脑电双频指数 麻醉深度 

分 类 号：R614[医药卫生—麻醉学]