摘要
目的探究脑电双频指数(BIS)监测指导不同麻醉深度对老年腹腔镜胆囊切除术(laparoscopic cholecystectomy,Lc)患者术后认知功能的改善作用。方法选取本院2017年1月至2018年12月期间接收的老年Lc患者84例,其中对照组30例为常规麻醉,观察组26例为BIS监测指导深麻醉,研究组28例为BIS监测指导浅麻醉。统计分析3组患者苏醒时间、拔管时间、定向力恢复时间以及术前1天、术后第1天、术后第3天的认知功能水平(MMSE评分)。结果研究组术后第1天和术后第3天时,MMSE评分均高于对照组和观察组,其苏醒时间、拔管时间和定向力恢复时间短于对照组和观察组,组间比较差异具有统计学意义(P<0.05)。结论BIS监测指导不同麻醉深度能够影响老年Lc患者术后认知功能恢复,其中BIS监测指导浅麻醉的效果优于常规麻醉和BIS监测指导深麻醉,在临床上具有很大的实践价值。
Objective To explore the effect of bispectral index(BIS)monitoring on the improvement of postoperative cognitive function in elderly patients undergoing laparoscopic cholecystectomy(Lc).Methods 84 elderly patients with Lc received from January 2017 to December 2018 were enrolled in our hospital.Among them,30 patients in the control group were routine anesthesia,26 patients in the observation group were under deep anesthesia guided by BIS,and 28 cases in the study group were monitored by BIS.The light anesthesia was instructed,and the recovery time,extubation time,orientation recovery time,and cognitive function level(MMSE score)at 1 day before surgery,1 day after surgery,and 3 days after surgery were statistically analyzed.Results The MMSE scores of the study group were higher than those of the control group and the observation group on the 1st postoperative day and the 3rd postoperative day,the recovery time,extubation time and orientation recovery time were shorter than the control group and the observation group,the difference was statistically significant(P<0.05).Conclusion BIS monitoring can affect the recovery of postoperative cognitive function in elderly patients with Lc.The effect of BIS monitoring on shallow anesthesia is better than that of conventional anesthesia and BIS monitoring.It has great practical value in clinical practice.
作者
葛莉
Ge Li(Department of Anesthesiology,Rugao People's Hospital of Jiangsu,Rugao,Jiangsu,226500,China)
出处
《当代医学》
2019年第32期33-35,共3页
Contemporary Medicine
关键词
BIS监测指导
麻醉深度
老年Lc患者
术后认知功能
BIS monitoring guidance
Depth of anesthesia
Elderly Lc patients
Postoperative cognitive function
