麻醉深度监测在老年患者髋部骨折手术中的应用研究  

Application Study of Anesthesia Depth Monitoring in Hip Fracture Surgery of Elderly Patients

作　　者：孙浩[1] 李艳[1] 薄惠龙 顾琴[1] Sun Hao;Li Yan;Bo Huilong;Gu Qin(Department of Anesthesiology,Suzhou Xiangcheng People's Hospital,Suzhou,Jiangsu 215100,China)

机构地区：[1]苏州市相城人民医院麻醉科,江苏苏州215100

出　　处：《大理大学学报》2020年第8期54-57,共4页Journal of Dali University

摘　　要：目的:探讨麻醉深度监测在老年患者髋部骨折手术中的临床应用效果。方法:选取2018年8月至2019年9月苏州市相城人民医院行防旋股骨近端髓内钉(PFNA)内固定术的老年患者60例作为研究对象,采取随机数字表法将患者分为对照组(常规麻醉监测)及试验组(麻醉深度监测),比较两组患者的脑电双频指数(BIS)评分、术中知晓发生率、麻醉药用量及术后苏醒时间。结果:试验组BIS评分较对照组增高,差异有统计学意义(P<0.05)。而试验组术中知晓发生率、麻醉药总用量及术后苏醒时间较对照组明显降低,差异有统计学意义(P<0.05)。结论:麻醉深度监测在老年患者PFNA内固定术中应用效果令人满意,值得进一步临床推广应用。Objective:To explore the clinical application effect of anesthesia depth monitoring in hip fracture surgery of elderly patients.Methods:From August 2018 to September 2019,60 elderly patients who underwent proximal femoral nail antirotation(PFNA)internal fixation in Suzhou xiangcheng people’s hospital were selected as the research subjects.According to the random number table method,60 elderly patients were divided into a control group(conventional anesthesia monitoring)and an experimental group(anesthesia depth monitoring).The bispectral index(BIS)score,intraoperative awareness rate,anesthetic dosage and postoperative recovery time were compared.Results:The BIS score of the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.05).The intraoperative awareness rate,the total dosage of anesthetics and the postoperative recovery time of the experimental group were significantly lower than that of the control group,and the differences were statistically significant(P<0.05).Conclusion:The application of anesthesia depth monitoring in elderly patients with PFNA internal fixation is satisfactory,and it is worthy of further clinical application.

关 键 词：麻醉深度监测 髋部骨折 防旋股骨近端髓内钉内固定术 脑电双频指数 

分 类 号：R614[医药卫生—麻醉学]