摘要
Abstract
Objective To investigate the value and side effects of BIS feedback target controlled infusion (TCI) with propofol and remifentanyl in painless artificial abortion. Methods 120 patients receiving painless artificial abortion were randomly divided into 3 groups, Group A (TCI with propofol), Group B (TCI with propofol under BIS monitoring), and Group C (TCI with remifentanyl and propofol under BIS monitoring). The concentration of propofol or remifentanyl was adjusted by BIS value and hemodynamics. BP, HR, RR, operation duration, recovery time, sedation scores, orientation, postoperative visual analogue scale and side effects were recorded. Results As compared to those in Group A, the total dose of propofol, the time of wake-up and orientation, involuntary movement was less in Group B and C (P < 0.05) ; and as compared to those in Group B, the former two index were reduced (P < 0.05), while the latter two had no significant changes in Group C (P > 0.05). Conclusion Under BIS monitoring, the application of TCI with remifentanyl and propofol in painless artificial abortion can reach more reasonable depth of anesuiesia, reduce the dose of propofol, and lead to rapid recovery from anesthesia.关键词
脑电双频指数/靶控输注/瑞芬太尼/无痛人流Key words
Bispectral index/ Target controlled infusion/ Remifentanyl/ Painless artificial abortion
