BIS监测对急性缺血性脑卒中患者镇痛浅镇静的影响

Effects of BIS monitoring on analgesia and shallow sedation in patients with acute ischemic stroke

目的:运用BIS监测对急性缺血性脑卒中患者镇痛浅镇静治疗效果进行评价。方法:选取某医院NICU2022年1月-3月收治的45例急性缺血性脑卒中患者行镇痛浅镇静予RASS评分为对照组,2022年4月-6月收治的50例急性缺血性脑卒中患者行镇痛浅镇静予BIS监测为观察组,对比两组浅镇静达标时间、药物使用剂量、用药不良反应、机械通气时间、入住NICU治疗时间、总住院时间、住院病死率及护理满意度。结果:观察组患者浅镇静达标时间、药物使用剂量、用药不良反应、机械通气时间、入住NICU治疗时间及总住院时间明显低于对照组,观察组患者护理满意度明显高于对照组,差异均具有统计学意义(P<0.05),两组患者住院病死率差异无统计学意义(P>0.05)。结论:对急性缺血性脑卒中患者实施镇痛浅镇静使用BIS监测可取得较好临床效果。

Objective:To evaluate the efficacy of analgesia and shallow sedation in patients with acute ischemic stroke by BIS monitoring.Methods:Forty-five patients with acute ischemic stroke who received analgesic light sedation and RASS score from a hospital from January to March 2022 were selected as the control group,and 50 patients with acute ischemic stroke who received analgesic light sedation and BIS monitoring from April to June 2022 were selected as the observation group.The standard time of shallow sedation,drug dosage,adverse drug reactions,mechanical ventilation time,NICU treatment time,total hospital stay,in-hospital mortality and nursing satisfaction of the two groups were compared.Results:The standard time of shallow sedation,drug dosage,adverse drug reactions,mechanical ventilation time,NICU treatment time and total length of stay in the observation group were significantly lower than those in the control group,the nursing satisfaction of the observation group was significantly higher than that in the control group,the difference between the two groups was significant(P<0.05),the inpatient mortality between the two groups was not significant(P>0.05).Conclusion:BIS monitoring for acute ischemic stroke patients with analgesia and shallow sedation can achieve better clinical effects.