| 于淼舒张锐符明岩吴晓秋孙鑫李世博.脑电双频指数用于靶控瑞芬太尼输注在小儿眼科手术中的临床评价[J].,2012,12(19):3651-3653 |
| 脑电双频指数用于靶控瑞芬太尼输注在小儿眼科手术中的临床评价 |
| Significance of BIS feed back-Guided TCI Remifentail Anesthesia inChildren Undergoing Ophthalmic Surgery |
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| DOI： |
| 中文关键词: 瑞芬太尼 靶控输注 脑电双频指数 小儿眼科手术 |
| 英文关键词: Remifentail Target controlled infusion Bispectral index Children Undergoing Ophthalmic surgery |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨脑电双频指数（BIS）对靶控瑞芬太尼输注在小儿眼科手术中的指导意义。方法：择期小儿眼科手术80 例，随机均
分为(A 组)BIS 反馈调控瑞芬太尼组，(B 组)根据经验用药组，比较两组中瑞芬太尼的用量，血流动力学以及苏醒时间。结果：A 组
瑞芬太尼用量明显低于B 组(P<0.05)，B 组血流动力学，BIS 值波动明显大于A 组(P<0.05)，B 组苏醒时间明显短于A 组(P<0.05)。
结论：小儿眼科手术中，BIS 反馈调控瑞芬太尼靶控输注（TCI）技术可降低瑞芬太尼用量，有助于判断全麻深度，指导麻醉用药。 |
| 英文摘要: |
| Objective: To explore the outcomes of target controlled infusion (TCI)of Remifentail guided by bispectral index(BIS)
feedback regulation in children undergoing ophthalmic surgery. Methods: Eighty children undergoing ophthalmic surgery were
randomized into two group,one group anesthetics was by BIS feedback-guided TCI Remtfentail (group A),one group anethetics was
based on the experience of vecuronium (group B) .The haemodynamics, the remifentail consumption and the time of eye opening were
compared between two group. Results: The remifentail consumption was statistically lower in group A than in group B(P<0.05).The
haemodynamics and BIS were significant increased in group B than in group A（P<0.05）.The time of eye opening was longer in group B
than in group A（P<0.05）. Conclusion: The remifentail consumption can be reduced by BIS feedback-guided TCI remifentail anesthesia
depth and directing the administration of anesthesia.surgery. BIS is helpful in judging anesthesia depth and directing the administration of
anesthetics. |
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