中国医学创新Issue(3)：30-31,32,3.DOI:10.3969/j.issn.1674-4985.2014.03.012
吸烟对冠状动脉旁路移植术麻醉诱导期BIS的影响
Effects of Smoking on Bispectral Index in Coronary Artery Bypass Grafting Patients during Induction of Anesthesia
魏利娟 1高文根 1马亚飞1
作者信息
- 1. 河南科技大学第一附属医院 河南 洛阳 471003
- 折叠
摘要
Abstract
Objective:To observe the effects of smoking on bispectral index(BIS)and hemodynamics in coronary artery bypass grafting(CABG) patients during induction of anesthesia. Method:40 patients(ASAⅡ-Ⅲ) for CABG were divided into two groups according to random number table method:smokers(n=20)and non-smokers(n=20). All patients were using midazolam,etomidate,propofol,sufentanil and vecuronium for induction of anesthesia. Heart rate(HR),mean arterial pressure(MAP)and BIS were recorded at intubation immediately,before intubation,1min,2 min and 3min after intubation. Result:MAP and BIS before the basis of the two groups comparison differences had no statistical significance(P>0.05);The basis of HR in the smoking group was slower than the non-smoking group. Tracheal intubation and tracheal intubation after 1,2 min,BIS values of the smoking group were higher than the non-smoking group(P<0.05);Compared with the non-smoking group,during endotracheal intubation and after intubation 1,2 min,HR and MAP of the smoking group were increased more significantly(P<0.05).Conclusion:Smoking affects coronary artery bypass grafting anesthesia induction period of the BIS,smoking patients with coronary artery bypass graft surgery anesthesia induction period hemodynamic change is more intense,more attention should be paid to maintain hemodynamic stability,effective prevention of myocardial ischemia.关键词
吸烟/冠状动脉旁路移植术/麻醉诱导/BISKey words
Smoking/Coronary artery bypass grafting/Anesthesia induction/BIS引用本文复制引用
魏利娟,高文根,马亚飞..吸烟对冠状动脉旁路移植术麻醉诱导期BIS的影响[J].中国医学创新,2014,(3):30-31,32,3.
