全身麻醉下脑电双频指数用于脑性瘫痪患儿SPR手术的应用  

Application of bispectral index in SPR operation of children with cerebral palsy under general anesthesia

作　　者：龙旭 刘祥麟[2] Long Xu;Liu Xianglin(Xiangya Boai Rehabilitation Hospital,410100;Changsha Maternal and Child Health Hospital,417000)

机构地区：[1]湘雅博爱康复医院,湖南长沙410100 [2]长沙市妇幼保健院,湖南长沙417000

出　　处：《中国社区医师》2020年第1期59-60,共2页Chinese Community Doctors

摘　　要：目的:研究脑性瘫痪患儿在接受全身麻醉选择性脊神经后根切断术治疗期间采用脑电双频指数对麻醉状态进行监测的临床价值。方法:2017年4月-2019年4月选取接受全身麻醉选择性脊神经后根切断术治疗的脑性瘫痪患儿72例,随机分为两组,各36例。对照组治疗期间通过生命体征变化对麻醉深度进行调节,研究组治疗期间采用脑电双频指数对麻醉状态进行监测。比较两组治疗期间麻醉不良反应情况、拔管时间和住院时间、麻醉效果。结果:研究组治疗期间麻醉不良反应例数少于对照组,拔管时间和住院时间均短于对照组,麻醉总有效率高于对照组,差异均有统计学意义(P<0.05)。结论:脑性瘫痪患儿在接受全身麻醉选择性脊神经后根切断术治疗期间采用脑电双频指数对麻醉状态进行监测,可以尽可能减少相关不良反应,缩短拔管时间和住院时间,使麻醉效果得到显著提升。Objective:To study the clinical value of bispectral index in monitoring anesthesia status of children with cerebral palsy undergoing general anesthesia during selective posterior rhizotomy.Methods:72 children with cerebral palsy who underwent general anesthesia for selective posterior rhizotomy were selected from April 2017 to April 1919,they were randomly divided into the two groups with 36 cases in each group.The anesthesia depth of the control group was adjusted by the change of vital signs during treatment,the anesthesia status was monitored by the bispectral index during the treatment period of the study group.The adverse reaction,extubation time,total hospitalization time and anesthetic effect were compared between the two groups.Results:The number of adverse effects of anesthesia in the study group was less than that in the control group,the total time of extubation and hospitalization was shorter than that in the control group,and the total effective rate of anesthesia was higher than that in the control group,the differences were statistically significant(P<0.05).Conclusion:The bispectral index can be used to monitor the anesthesia state of children with cerebral palsy during the treatment of selective posterior rhizotomy under general anesthesia,which can reduce the related adverse reactions as much as possible,shorten the time of extubation and hospitalization,and improve the anesthesia effect significantly.

关 键 词：脑性瘫痪 全身麻醉 选择性脊神经后根切断术 脑电双频指数 

分 类 号：R726.1[医药卫生—儿科]