摘要
目的探讨脑状态指数(CSI)监测指导老年丙泊酚麻醉用药的价值。方法在丙泊酚静脉麻醉下行胆道支架引流术(ERBD)老年患者60例,随机均分为两组:A组在CSI指导下泵注丙泊酚,维持CSI指数在50-60;B组根据经验调整丙泊酚用量。记录围术期MAP、HR和CSI值,比较两组麻醉相关资料。结果术中A组CSI值明显高于B组(P<0.05)。A组丙泊酚用量较B组明显减少(P<0.01),A组苏醒时间较B组显著缩短(P<0.01)。结论用CSI监测指导丙泊酚麻醉有利于维持合适的麻醉深度和循环稳定,减少丙泊酚用量,缩短麻醉恢复时间。
Objective To investigate the significance of cerebral state index(CSI)monitoring in guiding propofol anesthesia in the elderly.Methods Propofol anesthesia was used in 60 patients aged over 65 years old,who were undergoing endoscopic retrograde biliary drainage(ERBD)and egually randomized into two groups.Propofol infusion in group A was adjusted by CSI guidance(keeping CSI value of 50-60)and that in group B by experience(keeping MAP and HR in 80%to 120%of baseline).MAP,HR and CSI were recorded and the indicators related to anesthesia were compared between two groups.Results CSI values during operation were higher in group A than those in group B(P〈0.05).The total amount of protofol consumed was less in group A than that in group B(P〈0.01).The recovery time from anesthesia was shorter in group A than that in group B(P〈0.01).Conclusion CSI-guided propofol anesthesia has the advantages of keeping resonable anesthesia depth,reducing propofol comsumption,and shortening recovery time in the elderly undergoing ERBD.
作者
解珂
王丹丹
陶富盛
XIE Ke;WANG Dandan;TAO Fusheng(Department of Anesthesiology,Afflicted Hospital,Nanjing University of Traditional Chinese Medicine,Nanjing 210029,CHINA)
出处
《江苏医药》
CAS
北大核心
2013年第23期2850-2851,共2页
Jiangsu Medical Journal
关键词
脑状态指数
丙泊酚
胆道支架引流术
老年
Cerebral state index
Protofol
Endoscopic retrograde biliary drainage
Geriatrics
