BIS监测在老年骨科全麻手术中的应用分析  

Analysis of Bis Monitoring in Geriatric Orthopedic General Anesthesia Surgery

作　　者：杨勇 戴博成 王会 YANG Yong;DAI Bocheng;WANG Hui(Department of Anesthesiology,Chenggong District People′s Hospital,Kunming 650500,Yunnan,China)

机构地区：[1]昆明市呈贡区人民医院麻醉科,云南昆明650500

出　　处：《系统医学》2024年第13期68-70,82,共4页Systems Medicine

基　　金：昆明市卫生健康委员会卫生科研课题项目(2022-04-11-015)。

摘　　要：目的探讨脑电双频谱指数(Bispectral Index,BIS)监测在老年骨科全麻手术中的应用效果。方法非随机选取2022年8月—2023年11月呈贡区人民医院接受骨科全麻手术治疗的老年患者90例,按监测方法不同分为两组。研究组(n=45)行BIS监测下调节麻醉诱导及维持用药,对照组(n=45)行常规诱导和维持麻醉。比较两组麻醉用药剂量、术后恢复指标、血流动力学指标[平均动脉压(Mean Arterial Pressure,MAP)、心率(Heart Rate,HR)、血氧饱和度(Puise Oxygen Saturation,SpO_(2))]水平变化及术后认知功能障碍发生情况。结果研究组麻醉用药剂量及术后恢复指标均优于对照组,差异有统计学意义(P均<0.05)。研究组患者MAP、HR变化水平比对照组更稳定,差异有统计学意义(P均<0.05)。两组SpO_(2)水平比较,差异无统计学意义(P均>0.05)。术后1、3 d,研究组术后认知功能障碍发生率分别为4.44%、0,均低于对照组17.78%、13.33%,差异有统计学意义(χ^(2)=4.050、4.464,P均<0.05)。结论BIS监测能减少老年骨科全麻手术患者麻醉药物用量,有利于提高苏醒质量及血流动力学稳定性,降低术后认知功能障碍的发生率。Objective To investigate the application of Bispectral index(BIS)monitoring in elderly orthopedic surgery under general anesthesia.Methods A total of 90 cases of elderly patients who received orthopedic general anesthesia surgical treatment in Chenggong District People's Hospital from August 2022 to November 2023 were unrandomly se-lected and divided into two groups by difference anesthesia method.The study group(n=45)performed BIS monitoring to regulate anesthesia induction and maintenance medication,and the control group(n=45)routinely induced and maintained anesthesia.The two groups were compared in terms of the dose of anesthesia medication,postoperative re-covery indexes,changes in hemodynamic indexes[mean arterial pressure(MAP),heart rate(HR),arterial partial pres-sure of oxygen(Puise Oxygen Saturation,SpO_(2))]levels,and the occurrence of postoperative cognitive dysfunction.Results The dose of anesthesia medication and postoperative recovery indexes of the study group were better than those of the control group,and the differences were statistically significant(all P<0.05).The level of MAP and HR changes in the patients of the study group were more stable than those of the control group,and the differences were statistically significant(all P<0.05).There was no statistically significant difference in SpO_(2)levels between the two groups(all P>0.05).At 1 d and 3 d postoperatively,the incidence of postoperative cognitive dysfunction in the study group was 4.44%and 0,respectively,which were lower than those of the control group at 17.78%and 13.33%,and the differences were statistically significant(χ^(2)=4.050,4.464,both P<0.05).Conclusion BIS monitoring reduces the dosage of anesthetic drugs in elderly orthopedic general anesthesia surgery patients,contributes to the quality of awak-ening and hemodynamic stability,and reduces the incidence of postoperative cognitive dysfunction.

关 键 词：骨科全麻手术 老年患者 脑电双频谱指数 应用效果 

分 类 号：R614[医药卫生—麻醉学]