脑电双频谱指数监测在腹腔镜下肾囊肿去顶减压术麻醉中的应用

摘要

目的：探讨腹腔镜下肾囊肿去顶减压术中脑电双频指数（BIS）监测对静脉全麻用药和患者麻醉恢复的影响。方法选择我院择期行腹腔镜下肾囊肿去顶减压术手术患者30例，ASA I～Ⅱ级，术中调节丙泊酚和瑞芬太尼输注速率，将患者随机分为对照组（A组）和BIS组（B组）。分别记录两组麻醉诱导插管后（T1）、插管至手术开始时（T2）、手术30 min时（T3）、手术60 min时（T4）丙泊酚和瑞芬太尼的用量及术后自主呼吸恢复时间、拔管时间。结果 A组丙泊酚和瑞芬太尼的用量比B组多，术后自主呼吸恢复情况两组无明显差异，A组停药至拔管的时间较B组长。结论 BIS监测对提高麻醉质量、指导麻醉药的合理使用有重要意义。%Objective To investigate the effect of the monitoring of cerebral electric double frequency index (BIS) on the patients with intravenous anesthesia and the recovery of anesthesia in patients undergoing laparoscopic renal cyst decompression and decompression. Methods Selection of renal cysts in our hospital undergoing laparoscopic unroofing and decompression surgery in patients with 30 cases,ASA I to II, intraoperative adjustment of propofol and remifentanil infusion rate, patients were randomly divided into control group (A group) and BIS group (group B). The two groups were recorded after anesthesia intubation,intubation and surgery (T1) at the beginning of surgery (T2),30 min (T3),the operation of 60 min (T4) dosage of propofol and remifentanil and postoperative spontaneous breathing recovery time and extubation time.ResultsThe dosage of propofol and remifentanil in group A was much more than that in B group,and there was no significant difference between the two groups after the operation. The time of withdrawal of the A group was longer than that of the B group.Conclusion BIS monitoring is of great significance for improving the quality of anesthesia and guiding the rational use of anesthetics.