舒芬太尼复合异丙酚麻醉下体外循环冠脉搭桥术患者双频谱指数与熵指数的关系

被引：8

作者：

严敏 ^{[1
]}

戴安卢 ^{[1
]}

Berthold Bein ^{[2
]}

PerterJ Tonner ^{[3
]}

Jens Schloz ^{[3
]}

机构：

[1] 浙江大学医学院附属第二医院麻醉科

[2] Department of Anesthesiology and Intensive Care Medicine,University Hospital Schleswig-Holstein,Campus Kiel,Germany

[3] Department of Anesthesiology and Intensive Care Medicine,University Hospital

来源：

中华麻醉学杂志 | 2006年 / 10期

关键词：

脑电描记术; 舒芬太尼; 二异丙酚; 麻醉,静脉;

D O I：

暂无

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

目的评价非肌松、深麻醉状态下,双频谱指数(BIS)反映麻醉深度的准确性。方法选择ASAⅢ级的冠脉搭桥术患者59例,麻醉诱导:静脉注射异丙酚2 mg／kg、舒芬太尼1μg／kg、罗库溴铵0．6 mg／kg,术中麻醉维持采用静脉持续输注异丙酚3-4 mg·kg-1·h-1、舒芬太尼1μg·kg-1·h-1。于麻醉诱导前、麻醉诱导开始后1、2、3、4 min、气管插管后即刻、气管插管后1 min、切皮后即刻和劈胸骨后即刻记录BIS、状态熵(SE)和反映熵(RE)。结果与麻醉诱导前相比,麻醉诱导开始后1、2、3、4 min和气管插管后即刻、气管插管后1 min、切皮后即刻及劈胸骨后即刻BIS、SE和RE均下降(P<0．05)。与SE相比,RE在各观察点均升高(P<0．01)。麻醉诱导期间BIS与SE和RE各时间点观察值之间呈明显正相关,r分别为0．898、0．908(P<0．01)。结论在非肌松、深麻醉状态下,BIS对舒芬太尼复合异丙酚静脉麻醉深度的监测不受肌电活动的影响。

引用

页码：929 / 931

页数：3

共 11 条

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