生命科学仪器2024，Vol.22Issue(3)：59-62,4.DOI:10.11967/2024220619
量化脑功能监测联合脑电双频指数对脑卒中介入取栓术后患者镇静评估的临床分析
Clinical Analysis of Quantitative Brain Function Monitoring Combined with EEG double-frequency Index
摘要
Abstract
Objective:To explore the clinical value of quantitative brain function monitoring combined with bispectral index in sedation evaluation of patients with stroke after interventional embolectomy.Methods:From September 2021 to February 2024,50 patients with stroke who were treated by interventional embolectomy in Jingxi People's Hospital were selected.Subjective and objective monitoring was performed after operation,and 25 patients in each group were divided according to the monitoring scheme.The control group was monitored subjectively.Glasgow co-ma scale(GCS),Ramsay score and RASS score were selected to evaluate the sedation effect,while the observation group was monitored subjectively and objectively.On the basis of objective evaluation,the sedation effect was evalu-ated by quantitative brain function monitoring and bispectral index(BIS).The evaluation results、clinical indicators、incidence of adverse events、incidence of adverse drug reactions and survival within 30 days were recorded.Results:The results of sedation evaluation in the two groups showed that the Ramsay score in the observation group was lower than that in the control group,while the GCS score、RASS score、BIS score、band energy、α variation rate and spectral entropy were higher than those in the control group,P<0.05.Compared with the clinical indexes of the two groups、the recovery time of consciousness、the dosage of analgesic and sedative drugs、the time of tracheal intu-bation、the time of sedation、the stay in ICU and the total hospitalization time in the observation group were less than those in the control group,P<0.05.The incidence of adverse events in the observation group was lower than that in the control group,P<0.05.The incidence of adverse drug reactions in the observation group was lower than that in the control group,P<0.05.Compared with the 30-day survival of the two groups,the survival rate of the observation group was higher than that of the control group,P<0.05.Conclusion:Quantitative brain function moni-toring combined with bispectral index is of great value in sedation evaluation of patients after interventional embo-lectomy for stroke.Administration according to the evaluation results can reduce the dosage of analgesic and seda-tive drugs,shorten the recovery time of patients,reduce the incidence of adverse events and adverse reactions,im-prove the survival rate of patients within 30 days and ensure the safety of sedation.关键词
量化脑功能监测/脑电双频指数/脑卒中/介入取栓术/镇静Key words
Quantitative brain function monitoring/EEG double frequency index/Stroke/Interventional thrombec-tomy/Sedation分类
医药卫生引用本文复制引用
黄焱,陆俊才,闭国宁,周美花..量化脑功能监测联合脑电双频指数对脑卒中介入取栓术后患者镇静评估的临床分析[J].生命科学仪器,2024,22(3):59-62,4.基金项目
广西壮族自治区卫生健康委员会自筹经费科研课题(合同编号Z20211029) （合同编号Z20211029）
