中国实用神经疾病杂志Issue(13)：21-22,2.
脑电双频指数监测对全身麻醉老年患者术后认知功能障碍的影响
The effects of Bispectral index monitor on postoperative cognitive dysfunction of elderly patients with general anesthesia
段静辉 1汪卫东 1陈永学 1李东兴 1王新波 1孙建红1
作者信息
- 1. 河北邯郸市中心医院麻醉科 邯郸 056001
- 折叠
摘要
Abstract
Objective To investigate and analyze the impact of bispectral index monitoring on postoperative cognitive dys-function of elderly patients with general anesthesia .Methods 82 cases of elderly patients under general anesthesia for abdomi-nal surgery from January 2012 to December 2012 admitted to our hospital were randomly divided into two groups ,the observa-tion group and the control group ,41 patients each group .the control group was given conventional anesthesia ;in the observa-tion group ,BIS was used to monitor the effectiveness of general anesthesia .Heart rate (HR) ,mean arterial pressure (MAP) changes ,the dosage of propofol during anesthesia ,operative time ,extubation time ,recovery time and incidence of cognitive dysfunction were observed and recorded .Results In the two groups ,mean arterial pressure induced by anesthesia has declined somewhat ;at each other time point ,the difference of HR and MAP between two groups was not statistically significant (P>0 .05);The dosage of propofol in observation group (678 ± 78) mg was significantly lower than that of the control group (823 ± 97) mg ,the difference was statistically significant (P<0 .05);Operative time of the two groups was of no significant differ-ence (P>0 .05) ,but the extubation time (9 ± 3 ) min and awake time (13 ± 4) min of the observation group were significantly earlier than (26 ± 8) and (21 ± 6) min (26 ± 8) of the control group ,the difference was statistically significant (P<0 .05);MMSE scores before and after 24h of surgery of the two groups was of no statistically significant difference (P>0 .05);how-ever MMSE scores during operation in the observation group (24 .12 ± 1 .7) was significantly higher (21 .96 ± 1 .8) than that of the control group ,the difference was statistically significant (P< 0 .05).Conclusion using bispectral index monitor during general anesthesia is instrumental to accurately judge the depth of sedation and effectively reduce the incidence of postoperative cognitive dysfunction in elderly patients .关键词
脑电双频指数监测/全身麻醉/老年患者/术后认知功能障碍Key words
Bispectral index monitoring/Anesthesia/Elderly patients/Cognitive dysfunction分类
医药卫生引用本文复制引用
段静辉,汪卫东,陈永学,李东兴,王新波,孙建红..脑电双频指数监测对全身麻醉老年患者术后认知功能障碍的影响[J].中国实用神经疾病杂志,2014,(13):21-22,2.
