脑电双频谱指数及经皮氧/二氧化碳分压监测技术在下腹部开腹手术麻醉中的应用价值

Application Value of Bispectral Index and Transcutaneous Oxygen/Carbon Dioxide Partial Pressure Monitoring Technology in Anesthesia of Lower Abdominal Surgery

目的探讨脑电双频谱指数(BIS)及经皮氧/二氧化碳分压(TcPO2/TcPCO2)监测技术在下腹部开腹手术麻醉中的应用价值。方法将本院行下腹部开腹手术的102例患者为研究对象,随机分为对照组和观察组。对照组采用心电监护仪常规监测,观察组在对照组基础上加BIS、PaO2/PaCO2及TcPO2/TcPCO2分压监测技术。结果观察组苏醒时间、拔管时间及血流动力学波动、认知功能障碍(POCD)发生率少于(低于)对照组;观察组、对照组不良反应发生率分别为9.8%、31.4%;TcPO2与PaO2、SpO2、TcPCO2与PaCO2有良好的相关性。结论脑电双频谱指数监测可减少麻醉剂量、降低POCD及不良反应发生率、提高苏醒质量。经皮氧/二氧化碳分压监测技术具有无创、动态、实时、灵敏的监测通气氧合及微循环灌注的优点。

Objective To explore the application value of bispectral index and transcutaneous oxygen/carbon dioxide partial pressure monitoring technology in the anesthesia of lower abdominal surgery.Methods 102 patients with lower abdominal surgery in our hospital were randomly divided into control group and observation group.The control group was monitored by ECG monitor,and the observation group was added with BIS,PaO2/PaCO2 and TcPO2/TcPCO2 partial pressure monitoring technology on the basis of the control group.Results The recovery time,extubation time and hemodynamic fluctuation of patients in the observation group were less than those in the control group.The incidence of POCD in the observation group was lower than that in the control group.The incidence of adverse reactions in the observation group and the control group were 9.8%and 31.4%respectively.TcPO2 had good correlation with PaO2,SpO2,TcPCO2 and PaCO2.Conclusion Bispectral index monitoring can reduce the amount of anesthetics,reduce the incidence of POCD and adverse reactions,and improve the quality of recovery.Percutaneous oxygen/carbon dioxide partial pressure monitoring technology has the advantages of non-invasive,continuous,dynamic,real-time and sensitive monitoring of ventilation oxygenation and microcirculation perfusion.