超快通道麻醉联合BIS监测对心脏手术患者的效果及安全性  

Oprative Effect and safety of Ultrafast Channel Anesthesia-assisted BIS Monitoring on the Patients Undergoing Cardiac Surgery

作　　者：吴仲烨[1] 李玲霞[1] 路喻清[1] 李艳[1] 赵静[2] 张二飞[1] WU Zhong-ye;LI Ling-xia;LU Yu-qing;LI Yan;ZHAO Jing;ZHANG Er-fei(Anesthesiology Department,The Affiliated Hospital of Yan'an University,Yan'an,Shaanxi,716000,China;Intensive Care Unit,The Affiliated Hospital of Yan'an University,Yan'an,Shaanxi,716000,China)

机构地区：[1]延安大学附属医院麻醉科,陕西延安716000 [2]延安大学附属医院重症医学科,陕西延安716000

出　　处：《现代生物医学进展》2020年第5期949-952,共4页Progress in Modern Biomedicine

基　　金：陕西省社会发展科技攻关项目(2016SF-075)。

摘　　要：目的:探究超快通道麻醉辅助脑电双频指数(Bispectral index,BIS)监测对行心脏手术患者认知功能障碍的影响和安全性。方法:选取2014年1月-2017年1月于我院进行心脏手术的59例患者为研究对象,按照随机数字表法将其分为实验组(29例)和对照组(30例)。其中,对照组患者实施心脏超快通道麻醉,实验组患者实施心脏超快通道麻醉辅助BIS监测。术后6个月,使用韦氏成人智力量表对两组麻醉前后认知功能障碍情况进行比对,并比较两组术后6个月内并发症的发生率。结果:(1)两组术后6个月时智力测试得分对比差异无统计学意义(P>0.05),各指数间对比差异也无统计学意义(P>0.05);(2)实验组患者术后6个月内并发症发生率较对照组显著降低(P<0.05)。结论:与单独使用超快速通道的患者相比,行全身麻醉心脏手术患者使用超快速通道麻醉辅助BIS监测麻醉及单用超快速通道对患者认知功能障碍的影响相当,但前者的安全性明显高于后者。Objective: To investigate the effects of ultrafast anesthesia-assisted BIS monitoring on cognitive dysfunction and the security in patients undergoing cardiac surgery. Methods: 59 patients undergoing cardiac surgery in our hospital from January 2014 to January 2017 were selected as experimental subjects and divided into experimental group(n=29) and control group(n=30) according to random number table method. Among them, the control group underwent cardiac ultra-fast channel anesthesia, the experimental group underwent cardiac ultra-fast channel anesthesia assisted BIS monitoring. The Webster’s Adult Intelligence Scale was used to compare the cognitive dysfunction before and after anesthesia. The incidence of complications within 6 months after surgery was compared between the two groups. Results:(1) There was no significant difference in intelligence test scores between the two groups at 6 months after operation(P>0.05), and there was no significant difference between each index(P>0.05);(2) The incidence of postoperative complications in the experimental group was significantly lower than that in the control group(P<0.05). Conclusions: Compared with the patients using only the ultra-fast channel, the effect of BIS monitoring anesthesia assisted by the ultra-fast channel anesthesia in patients undergoing general anesthesia and the effect of using only the ultra-fast channel anesthesia on the cognitive dysfunction of patients was similar, but the safety of the former was significantly higher than that of the latter.

关 键 词：超快速通道麻醉 脑电双频指数监测 心脏手术 认知功能障碍 并发症 

分 类 号：R654.2[医药卫生—外科学] R614[医药卫生—临床医学]