摘要
目的观察和评价临床麻醉深度监测方法在全麻手术中的临床应用效果。方法选取我院2014年10月~2016年8月收治的全麻手术患者78例,采用随机数字表法将其分为研究组与对照组,各39例。对照组采用传统麻醉方式,研究组则应用基于双频谱脑电图(BIS)监测的麻醉方法,观察两组患者术中清醒、手术疼痛、记忆力下降等情况,通过综合评价和分析两组患者满意度,记录丙泊酚、瑞芬太尼的使用剂量,观察两组患者麻醉时间及苏醒时间。结果研究组患者术中清醒、术中出现疼痛、记忆力下降所占比例均低于对照组,差异均有统计学意义(P<0.05)。两组患者的综合评价(评分)比较差异无统计学意义(P>0.05)。研究组丙泊酚、瑞芬太尼的使用剂量均明显少于对照组,苏醒时间短于对照组,差异均有统计学意义(P<0.05);两组患者麻醉时间比较差异无统计学意义(P>0.05)。结论麻醉深度监测在全麻手术中应用可有效预防术中患者清醒及疼痛的发生,减少麻醉药使用剂量,缩短术后清醒时间,临床应用价值较高。
Objective To observe and evaluate the clinical application effect of clinical anesthesia depth monitoring method in general anesthesia operation. Methods 78 patients with general anesthesia in our hospital from October 2014 to August 2016 were selected and randomly divided into study group and control group with 39 cases in each group. The control group used the traditional way of anesthesia, the study group is the application of double spectrum based on electroencephalogram( BIS) monitoring method of anesthesia, observe two groups of patients in awake, surgical pain, memory loss, analysis of two groups of patients' satisfaction through comprehensive evaluation, records of propofol, remifentanil, observe two groups of patients with anesthesia time and recovery time. Results In the study group, the rate of pain and memory loss during operation was lower than that of the control group, and the difference was statistically significant( P < 0.05). There was no significant difference between the two groups in the comprehensive evaluation score( P > 0.05). Using the dose of remifentanil propofol, the study group were significantly less than the control group, the recovery time is shorter than the control group, the differences were statistically significant( P < 0.05); the two groups of patients with anesthesia time showed no significant difference( P > 0.05). Conclusion The application of anesthesia depth monitoring in general anesthesia can effectively prevent the occurrence of conscious and pain, reduce the use of anesthetics,shorten the postoperative awake time, and the clinical value is higher.
作者
魏玉兰
WEI Yu-lan(Yuncheng County Second People 's Hospital, Shandong Heze 274700,China)
出处
《中国处方药》
2017年第4期4-5,共2页
Journal of China Prescription Drug
关键词
临床麻醉
深度监测
方法
评价
Clinical anesthesia
Depth monitoring
Method
Evaluation
