妇科腹腔镜手术患者麻醉深度与苏醒质量研究.docVIP

精品论文 参考文献 妇科腹腔镜手术患者麻醉深度与苏醒质量研究 朱富祖 　　（泸州医学院附属医院 四川 泸州 646000） 　　【摘要】 目的：研究妇科腹腔镜手术患者麻醉深度与苏醒质量。方法：选取2014年3月～2015年3月在我院妇科就诊并行腹腔镜卵巢囊肿剥除术，且术中脑电双频谱指数（BIS）维持在40～49之间的150例患者为观察组，再选取同期行腹腔镜卵巢囊肿剥除术且术中脑电双频指数（BIS）维持在50～59之间的150例患者为对照组。观察比较两组患者的苏醒时间、拔管时间及相关不良反应发生情况。结果：观察组患者苏醒时间及拔管时间均短于对照组，差异有统计学意义（Plt;0.05）；观察组不良反应发生率（10.00%）低于对照组（27.50%），差异有统计学意义（Plt;0.05）。结论：术中BIS在40～49之间的麻醉深度与BIS在50～59之间的麻醉深度相比，具有苏醒时间短、拔管时间短及不良反应发生率低、较高的苏醒质量的优点，值得在临床上应用和推广。 　　【关键词】 麻醉深度；苏醒质量；腹腔镜；手术 　　【中图分类号】R614.1 【文献标识码】A 【文章编号】2095-1752（2016）11-0057-02 　　Anesthesia depth and awaking quality of gynecological patients with laparoscopic surgery Zhu Fuzu. Affiliated Hospital of Luzhou Medical College, Sichuan Province, Luzhou 646000, China 　　【Abstract】Objective To study the anesthesia depth and awaking quality of gynecological patients with laparoscopic surgery. Methods 150 cases of patients diagnosed in the gynecology of our hospital from March 2014 to March 2015 and given laparoscopic ovarian cystectomy, and intraoperative bispectral index (BIS) maintained at between 40 ～ 49 were selected as the observation group, and another 150 cases given laparoscopic ovarian cystectomy and intraoperative bispectral index (BIS) maintained at between 50 to 59 at the same time were selected as the control group. The awakening time, extubation time and related adverse situations in these two groups were observed. Results The awaking time and extubation time in the observation group were shorter than in the control group, differences with statistical significance (Plt;0.05); the adverse reactions incidence in the observation group (10.00%) was lower than in the control group (27.50%), difference with statistical significance (Plt;0.05). Conclusion Compared to the anesthesia of BIS between 50 to 59, the anesthesia of BIS between 40 ～ 49 has the advantages of short awaking time, short extubation time, low adverse reactions incidence and high awaking quality, is worthy of clinical applicati