西安交通大学学报（医学版）2011，Vol.32Issue(5)：623-627,5.
脑电双频谱指数和心率变异指数联合用于监测腹腔镜胆囊切除术患者麻醉深度的临床观察
Clinical study of anesthesia depth monitoring by the combination of bispectral index and heart rate variability index for laparoscopic cholecystectomy
朱耀民 1景桂霞 1刘翔 1朱宇麟1
作者信息
- 1. 西安交通大学医学院第一附属医院麻醉科,陕西西安710061
- 折叠
摘要
Abstract
Objective To investigate anesthesia depth monitoring by bispectral index (BIS) combined with heart rate variability index (HRVI) for laparoscopic cholecystectomy. Through this study, we can examine the depression degree of the patients' central nervous system and the reactivity of the autonomic nervous system to the nocuous stimulation of surgical operation, thus further properly assessing anesthesia depth for laparoscopic cholecystectomy. Methods Based on a random design and control methods, 80 patients (ASA physical status Ⅰ or Ⅱ ) scheduled for laparoscopic cholecystectomy surgery were enrolled in this study. The subjects were assigned into four groups: control group (group Ⅰ ), BIS monitoring group (group Ⅱ ), HRVI monitoring group (group Ⅲ ) and BIS-HRVI combination monitoring group (group Ⅳ). The values of BIS and HRVI were maintained at 40 - 50 and 30 - 40, respectively. Results The dosage of propofol used during anesthesia was significantly smaller in group Ⅳ than in groups Ⅰ and Ⅱ and Ⅲ ; the dosage of remifentanil used during anesthesia was significantly higher in groups Ⅲ and Ⅳ than in groups Ⅰ and Ⅱ. Group Ⅳ had significantly shorter time of recovery than groups Ⅰ , Ⅱ and Ⅲ. There were much fewer cases of irritable patients after anesthesia in group Ⅲ and Ⅳ than in groups Ⅰ and Ⅱ . There were no aware cases after surgery among the four groups. Conclusion Our results suggest that monitoring anesthesia depth by BIS combined with HRVI for laparoscopic cholecystectomy can accurately evaluate the depression degree of the patients' central nervous system and the reactivity of the autonomic nervous system to the nocuous stimulation of surgical operation, thus further properly evaluating anesthesia depth for laparoscopic cholecystectomy.关键词
脑电双频谱指数/心率变异指数/腹腔镜胆囊切除术/麻醉深度Key words
bispectral index (BIS)/heart rate variability index (HRVI)/laparoscopic cholecystectomy/anesthesia depth分类
医药卫生引用本文复制引用
朱耀民,景桂霞,刘翔,朱宇麟..脑电双频谱指数和心率变异指数联合用于监测腹腔镜胆囊切除术患者麻醉深度的临床观察[J].西安交通大学学报（医学版）,2011,32(5):623-627,5.
