CAJ | 학술논문

目的探讨脑电双频指数(BIS)监测在全身麻醉术后患者转出术后恢复室(PAICU)时的指导意义.方法选取除神经外科手术的全身麻醉患者75例,测定患者转出PAICU时的BIS.结果 21例BIS为90～100;48例BIS为80～89,处于轻度镇静催眠;5例BIS为70～79;1例BIS为50～60.结论在无BIS监测下大部分全身麻醉患者转出PAICU时均处于轻度镇静状态,较为安全.但仍有个别患者BIS较低,镇静过度,转回普通病房时存在一定的危险性.BIS监测为指导患者转出PAICU提供了良好的数据参考.
목적 탐토뇌전쌍빈지수(BIS)감측재전신마취술후환자전출술후회복실(PAICU)시적지도의의.방법 선취제신경외과수술적전신마취환자75례,측정환자전출PAICU시적BIS.결과 21례BIS위90～100;48례BIS위80～89,처우경도진정최면;5례BIS위70～79;1례BIS위50～60.결론 재무BIS감측하대부분전신마취환자전출PAICU시균처우경도진정상태,교위안전.단잉유개별환자BIS교저,진정과도,전회보통병방시존재일정적위험성.BIS감측위지도환자전출PAICU제공료량호적수거삼고.
Objective To discuss the significance ofbispectral index (BIS) monitoring during the patients after general anesthesia while leaving the post-anesthetic intensive care unit (PAICU). Methods Seventy-five cases after general anesthesia were selected. When they were sent out of the PAICU, recorded their BIS. Results Twenty-one cases with BIS 90 - 100,48 cases with BIS 80 - 89 in slight calm and hypnosis,5 cases with BIS 70 - 79, and 1 case with BIS 50 - 60. Conclusions Without BIS monitoring,when sent out of the PAICU,most patients after general anesthesia are gently sedated and without too much risk. But still some patients are deeply sedated. BIS monitoring provides a nice reference for the patients while leaving the PAICU.