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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
引用本文: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].现代生物医学进展,2012,12(19):3651-3653.
作者姓名:于淼舒张锐符明岩吴晓秋孙鑫李世博
作者单位:中航工业哈尔滨二四二医院麻醉科 黑龙江哈尔滨150066
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。

关 键 词:瑞芬太尼  靶控输注  脑电双频指数  小儿眼科手术

Significance of BIS feed back-Guided TCI Remifentail Anesthesia in Children Undergoing Ophthalmic Surgery
YU Miao-shu,ZHANG Rui,FU Ming-yan,WU Xiao-qiu,SUN Xin,LI Shi-bo.Significance of BIS feed back-Guided TCI Remifentail Anesthesia in Children Undergoing Ophthalmic Surgery[J].Progress in Modern Biomedicine,2012,12(19):3651-3653.
Authors:YU Miao-shu  ZHANG Rui  FU Ming-yan  WU Xiao-qiu  SUN Xin  LI Shi-bo
Institution:(Department of Anaesthesia 242 Hospital of Harbin,Heilongjiang,Harbin 150066,China)
Abstract: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.
Keywords:Remifentail  Target controlled infusion  Bispectral index  Children Undergoing Ophthalmic surgery
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