| 吴仲烨,李玲霞,路喻清,李 艳,赵 静,张二飞.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[J].,2020,(5):949-952 |
| 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 |
| 投稿时间：2019-05-26 修订日期：2019-06-22 |
| DOI：10.13241/j.cnki.pmb.2020.05.033 |
| 中文关键词: 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 |
| 英文关键词: Ultra-fast channel anesthesia BIS monitoring Cardiac surgery Cognitive dysfunction Complications |
| 基金项目:陕西省社会发展科技攻关项目(2016SF-075) |
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| 中文摘要: |
| 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。 |
| 英文摘要: |
| ABSTRACT 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). Conclusion: 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. |
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