摘要
目的:分析在腹腔镜胆囊切除术中选择脑电双频指数监测仪的干预效果。方法:将2020年1月~2022年12月本院收治的行腹腔镜胆囊切除术治疗的患者60例作为本次观察对象,随机(黑白球)分组,对照组(常规静脉麻醉,30例),观察组(脑电双频指数监测仪,30例),比较分析两组拔管后体征改变(心率、呼吸、舒张压、收缩压、动脉血氧饱和度)、术后恢复情况(自主呼吸恢复时间、拔管时间、睁眼时间)、并发症发生率(低血压、呛咳、认知功能障碍)。结果:治疗后,观察组心率、呼吸频率、并发症发生率更低于对照组,动脉血氧饱和度更高,术后恢复时间更短,对比有统计学意义(P<0.05)。结论:在患者腹腔镜胆囊切除术治疗中用脑电双频指数监测仪可提高术中麻醉质量,有效稳定生命体征,减少麻醉用量且能够有效缩短术后恢复时间,降低术后并发症发生率,有一定的安全性。
Objective:To analyze the intervention effect of selecting EEG double-frequency index monitor in laparoscopic cholecystectomy.Methods:60 patients who underwent laparoscopic cholecystectomy in our hospital from January 2020 to December 2022 were selected as the observation objects,and randomly(black and white ball)were divided into the control group(conventional intravenous anesthesia,30 cases),the observation group(bispectral index monitor,30 cases),and the control group(conventional intravenous anesthesia,30 cases).The changes of physical signs(heart rate,respiration,diastolic blood pressure,systolic blood pressure,arterial oxygen saturation),postoperative recovery(spontaneous breathing recovery time,extubation time,eye opening time)and complication rate(hypotension,cough,cognitive dysfunction)after extubation were compared between the two groups.Results:After treatment,the heart rate,respiratory rate and complication rate were lower than the control group,the arterial oxygen saturation was higher,and the postoperative recovery time was shorter,which was statistically significant(P<0.05).Conclusion:In the treatment of laparoscopic cholecystectomy,the EEG double-frequency index monitor can improve the quality of intraoperative anesthesia,effectively stabilize the vital signs,reduce the amount of anesthesia,effectively shorten the postoperative recovery time,and reduce the incidence of postoperative complications.
作者
郑舟婷
ZHENG Zhou-ting(Department of Anesthesiology,Qianshan County People’s Hospital,Jiangxi Shangrao 334000)
出处
《中国医疗器械信息》
2024年第4期54-56,共3页
China Medical Device Information
关键词
脑电双频指数监测仪
静脉麻醉
腹腔镜
胆囊切除术
EEG double-frequency index monitor
intravenous anesthesia
laparoscopy
cholecystectomy