小儿脊柱侧弯矫正术应用丙泊酚对脑电双频指数的影响_医学论文.doc免费

小儿脊柱侧弯矫正术应用丙泊酚对脑电双频指数的影响_医学论文 小儿脊柱侧弯矫正术应用丙泊酚对脑电双频指数的影响_医学论文 作者：白宁 宋宇龙 秦秦 兰自侃 　　【Abstract】AIM: To observe the change of bispectral index (BIS)during propofol anesthesia in the adolescent scoliosis surgery. METHODS: Thirtyrandom according to different anesthetics:propofol group, n=18 isoflurane group, n=20. Mean arterial pressure(MAP), heart rate（HR）and BIS in the 2 groups were recorded at the time of preanesthesia(T0), 5 min after induction (T1), 5 min after intubation(T2), skin incision(T3), medication withdrawal(T4), arousing(T5), operation ending (T6), preextubation(T7) and postextubation(T8). RESULTS: The MAP,HR and BIS of the 2 groups were similar at the time of preanesthesia, intubation, skinincision, operation ending and postextubation (P＞0.05). The MAP and HR of isoflurane group was significantly higher than those of propofol group at the time of arousing and preextubation (P＜0.05). The BIS of pre and operation ending were siginificantly lower than that of preanesthesia (P＜0.05). But at the time of arousing, postextubation, BIS was similar to that of preanesthesia (P＞0.05). The BIS was not significantly different between the 2 groups during anesthesia (P＞0.05). The arousing time of propofol group was significantly shorter than that of isoflurane group (P＜0.05). The aroused people of propofol group were much more than the ones of isoflurane group (P＜0.05). The number of people who remembered at awaking and the incidence of postoperative nausea and vomitng in propofol group were significantly lower than those in isoflurane group (P＜0.05). CONCLUSION: Propofol anesthesia in the adolescent scoliosis surgery can shorten the arousing time, keep the hemodynamics stable, relieve the restlessness, decrease the incidences of bad memories at arousing and postoperative nausea and vomiting. By BIS monitoring, the depth of anesthesia, the ordermovement reaction of aroused patients during operation can be predicated. 　　【Keywords】 scoliosis/surgery propofol bispectral in