意识指数(IoC)监测用于腹腔镜胆囊切除手术中的效果研究  

The effect of consciousness index(IoC)monitoring in laparoscopic cholec ystectomy was studied

作　　者：高维 沈雷兵 GAO Wei;SHEN Leibing(Department of Anesthesiology,Pingchao Central Health Center,Tongzho u District,Nantong 226361,China;Department of Anesthesiology,The Ninth People’s Hospital Affiliated to Shang hai Jiaotong University School of Medicine,Shanghai,China)

机构地区：[1]南通市通州区平潮中心卫生院麻醉科,江苏南通226361 [2]上海交通大学医学院附属第九人民医院麻醉科,上海200011

出　　处：《当代医药论丛》2023年第16期41-44,共4页

摘　　要：目的:探讨意识指数(IoC)监测用于腹腔镜胆囊切除手术中的效果。方法:选取2020年1月至2023年2月在南通市通州区平潮中心卫生院接受择期全麻腹腔镜胆囊切除手术治疗的患者60例,以信封法随机分为对照组、观察组各30例。在术中,对照组根据麻醉医师经验对麻醉深度进行判定,观察组根据IoC监测判定麻醉深度,比较两组患者的术中麻醉药物用量、生命体征变化、术后苏醒指标。结果:两组患者术中舒芬太尼、顺式阿曲库铵的使用剂量相比差异不显著(P>0.05)。观察组术中丙泊酚的用量少于对照组(P<0.05)。两组患者麻醉前后不同时间节点的HR、MAP水平相比差异不显著(P>0.05)。观察组的拔管时间、睁眼时间、清醒时间、定向力恢复时间和出恢复室时间均短于对照组(P<0.05)。结论:在腹腔镜胆囊切除手术中应用IoC监测可以有效指导麻醉医师判断麻醉深度,减少麻醉时丙泊酚的给药剂量,有利于患者的麻醉后苏醒,临床应用效果较好。Objective:To investigate the effect of consciousness index(IoC)monitoring in laparoscopic cholecystectomy.Methods:A total of 60 patients receiving elective general anesthesia laparoscopic cholecystectomy in Pingchao Central Health Center,Tongzhou District,Nantong City from January 2020 to February 2023 were selected and randomly divided into control group and observation group with envelope method,30 patients in each group.During the operation,the control group determined the depth of anesthesia according to the experience of anesthesiologists,and the observation group determined the depth of anesthesia according to IoC monitoring.The intraoperative anesthetic drug dosage,vital signs changes,and postoperative recovery indexes of patients in the two groups were compared.Results:There was no significant difference in the dosage of sufentanil and cis-atracurium between the two groups(P>0.05).The amount of propofol in the observation group was lower than that in the control group(P<0.05).There were no significant differences in HR and MAP levels between the two groups at different time points before and after anesthesia(P>0.05).The extubation time,eye opening time,waking time,orientation recovery time and recovery room time in observation group were shorter than those in control group(P<0.05).Conclusion:The application of IoC monitoring in laparoscopic cholecystectomy can effectively guide anesthesiologists to judge the depth of anesthesia,reduce the dosage of propofol during anesthesia,and help patients wake up after anesthesia,with good clinical effect.

关 键 词：腹腔镜 胆囊切除手术 IoC监测 麻醉深度 

分 类 号：R614[医药卫生—麻醉学]