论文部分内容阅读
目的：研究脑电双频指数（ BIS）监测下硬膜外阻滞复合全麻对老年患者麻醉药用量及麻醉苏醒的影响。方法选取2013年1月至2014年12月永煤集团总医院收治的腹部手术全麻老年患者120例，随机分为对照组和研究组各60例，对照组患者根据医师经验控制麻醉深度，研究组患者在此基础上应用 BIS 监测仪调整患者的麻醉深度，对比两组患者的麻醉药用量及麻醉苏醒时间。结果研究组患者的麻醉药用量显著少于对照组患者，同时拔管时间、恢复自主呼吸时间、恢复定向力时间均短于对照组患者，差异均有统计学意义（P ＜0.05）。结论使用 BIS 监测麻醉深度同传统方法比较而言能够减少麻醉药的用量，同时缩短麻醉苏醒时间，应在老年患者全麻过程中进一步推广应用。“,”Objective To study the effect of epidural anesthesia combined with general anesthesia under bispectral index (BIS)monitoring on dosage of anesthetics and anesthesia recovery. Methods A total of 120 cases of general anesthesia elderly patients underwent abdominal surgery in Yongmei General Hospital from January 2013 to December 2014 were randomly divided into control group and study group with 60 patients in each group. Controlled the depth of anesthesia of the patients of control group based on physician experience,and the patients of the study group were applicated BIS monitor on this basis. The amount of anesthetics and anesthesia recovery time of the two groups were compared. Results The amount of anesthetic in study group were significantly less than that in the control group,while extubation time,recovery time of spontaneous breathing,recovery ori-entation were shorter than the those of the control group,the differences were significant(P < 0. 05). Conclusion BIS monitor depth of anesthesia comparison with traditional methods can reduce the amount of anesthetics while shorten the anesthesia recover-y time,so it should be further promoted in elderly patients with general anesthesia.