CSI监测在肝血管瘤射频消融术中的应用

The Application of CSI Monitoring in Radiofrequency Ablation ofH epatic Hemangioma

目的：探讨CSI监测在肝血管瘤射频消融术中的应用。方法拟行肝血管瘤射频消融术的患者80例,随机分为N组（对照组）与C组（接受麻醉深度监测）,两组患者均采用丙泊酚与瑞芬太尼维持麻醉。 N组患者采用丙泊酚TCI加瑞芬太尼维持麻醉,C组患者以CSI指数40-60为目标调节麻醉药物输注速度。结果 C组患者在术中使用丙泊酚总量、睁眼时间、拔管时间、PACU恢复时间均低于N组患者,差异有统计学意义（ P〈0．05）。结论 CSI监测能合理指导麻醉药物用量及减少患者麻醉恢复时间。

Objective To investigate the application of CSI monitoring in radiofrequency ablation of hepatic hemangioma. Methods 80 Patients undergoing radiofrequency ablation of hepatic hemangioma were randomly divided into group N （ control group）and group C（accepting monitoring of anesthesia depth）,two groups were both treated with propofol and remifentanil to maintain anesthetic. Group N were treated with propofol and remifentanil to maintain anesthetic,group C were treated with adjustment of narcotic drug′s infusion rate,with the goal of CSI index 40-60. Results The intraoperative use of propofol,eye opening-time,extubation time,PACU recovery time in Group C were all lower than group N（P〈0. 05）. Conclusion CSI monitoring can reasonably guide the dosage of narcotic drugs and reduce the amount of recovery time of anesthesia.