脑电双频指数监测技术指导输注麻醉对结直肠癌手术患者的影响  

The Impact of Infusion Anesthesia Guided by EEG Dual Frequency Index Monitoring Technology on Patients Undergoing Colorectal Cancer Surgery

作　　者：徐丽洁 XU Lijie(Department of Anesthesiology,Xuzhou Mining Group General Hospital Jiawang Branch,Xuzhou,Jiangsu,221011,China)

机构地区：[1]徐州矿务集团总医院贾汪院区麻醉科,江苏徐州221011

出　　处：《中国医药指南》2025年第8期119-121,共3页Guide of China Medicine

摘　　要：目的 观察对结直肠癌手术患者开展脑电双频指数(BIS)监测技术指导输注麻醉的效果。方法 在2022年3月至2023年6月徐州矿务集团总医院贾汪院区结直肠癌手术患者中选取60例,按照随机数字表法对纳入病例均分两组,对照组(30例)进行常规麻醉,观察组(30例)进行BIS监测技术指导输注麻醉。针对两组手术期间血流动力学、应激反应水平以及丙泊酚用量、拔管时间、诱导时间等手术指标进行对比。结果 观察组手术期间(T2、T3、T4)平均动脉压、心率均低于对照组(P <0.05)。观察组手术期间(T2、T3、T4)肾上腺素水平、去甲肾上腺素水平均低于对照组(P <0.05)。观察组丙泊酚用量、诱导时间、苏醒时间、拔管时间、手术时间均低于对照组(P <0.05)。结论 在对结直肠癌手术患者进行手术治疗过程中开展BIS监测技术指导输注麻醉可以减少手术期间血流动力学波动,减轻患者应激反应,缩短手术时间以及丙泊酚用量,保障手术麻醉效果。Objective To observe the effect of using bispectral index(BIS)monitoring technology to guide infusion anesthesia in patients undergoing colorectal cancer surgery.Methods A total of 60 patients undergoing colorectal cancer surgery at Xuzhou Mining Group General Hospital Jiawang Branch from March 2022 to June 2023 were selected and randomly divided into two groups using a random number table.The control group(30 cases)received routine anesthesia,while the observation group(30 cases)received BIS monitoring technology guided infusion anesthesia.Compare the hemodynamic parameters,stress response levels,propofol dosage,extubation time,induction time,and other surgical indicators between two groups during surgery.Results The mean arterial pressure and heart rate of the observation group during the surgery(T2,T3,T4)were lower than those of the control group(P<0.05).The adrenaline and noradrenaline levels of the observation group during the surgery(T2,T3,T4)were lower than those of the control group(P<0.05).The propofol dosage,induction time,recovery time,extubation time,and surgery duration of the observation group were lower than those of the control group(P<0.05).Conclusions Implementing BIS monitoring technology to guide infusion anesthesia during the surgical treatment of colorectal cancer patients can reduce hemodynamic fluctuations during surgery,alleviate patient stress reactions,shorten surgical time and propofol dosage,and ensure the effectiveness of surgical anesthesia.

关 键 词：结直肠癌 脑电双频指数监测技术 麻醉方法 血流动力学 应激反应 

分 类 号：R735.3[医药卫生—肿瘤]