摘要
目的探讨麻醉深度指数(CSI)在全身麻醉手术患者麻醉深度监测中的临床效果。方法选取2017年7月—2018年7月湘南学院附属医院收治的行全身麻醉手术的患者70例为研究对象,采用随机数字表法分为对照组和观察组,每组35例。其中对照组根据临床经验判断麻醉深度来对用药和剂量进行调节,而观察组则根据CSI判断麻醉深度来调节麻醉药物和剂量,对比分析两组治疗效果。结果T0时,两组患者CSI、心率(HR)、舒张压及收缩压比较,差异无统计学意义(P>0.05);T1和T2时,两组患者CSI比较,差异无统计学意义(P>0.05);T3和T4时,观察组患者CSI低于对照组(P<0.05);T5和T6时,观察组患者CSI高于对照组(P<0.05)。两组患者咪唑安定用量比较,差异无统计学意义(P>0.05);观察组患者丙泊酚、异氟醚、芬太尼以及维库溴铵用量少于对照组(P<0.05)。观察组患者总不良反应发生率低于对照组(χ^(2)=11.983,P<0.05)。结论CSI可以对患者的麻醉深度进行判断,为麻醉用药提供有效依据。
Objective To investigate the clinical effect of anesthetic depth index(CSI)in monitoring the depth of anesthesia in patients undergoing general anesthesia.Methods 70 patients undergoing general anesthesia in Affiliated Hospital of Xiangnan University from July 2017 to July 2018 were selected,and they were divided into control group and observation group according to the random number table method,35 cases in each group.The control group adjusted the depth of anesthesia according to clinical experience,while the observation group adjusted the depth of anesthesia according to CSI.The therapeutic effect of the two groups was compared and analyzed.Results At T0,there was no statistically significant difference in the CSI,HR,DBP and SBP between the two groups(P>0.05);at T1 and T2,there was no statistically significant difference in the CSI between the two groups(P>0.05);at T3 and T4,the CSI in the observation group was lower than that in the control group(P<0.05);at T5 and T6,the CSI in the observation group was higher than that in the control group(P<0.05).There was no statistically significant difference in the dosage of midazolam between the two groups(P>0.05);the dosage of vicuronium,propofol,fentanil and isoflurane in the observation group were lower than those in the control group(P<0.05).The incidence of adverse reactions in the observation group was lower than those in the control group(χ^(2)=11.983,P<0.05).Conclusion CSI can judge the depth of anesthesia in patients.It provides an effective basis for anesthetic use.
作者
王坚
WANG Jian(Department of Anesthesiology,Affiliated Hospital of Xiangnan University,Chenzhou 423000,China)
出处
《实用心脑肺血管病杂志》
2020年第S02期128-130,共3页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词
全身麻醉
麻醉深度指数
临床效果
General anesthesia
Anesthesia depth index
Clinical effect
