CAJ | 학술논문

目的：通过观察BIS值研究硬膜外阻滞复合全身麻醉是否能减少丙泊酚与芬太尼的用量。方法选取2012年8月~2013年8月首都医科大学石景山教学医院行下肢手术32例患者，分为两组：布比卡因组(硬膜外阻滞给予0.125豫布比卡因8 mL，随后持续应用微量注射泵以8 mL/h的速度泵注，16例)及对照组(硬膜外阻滞给予0.9豫生理盐水8 mL，16例)，随后均给予全身麻醉，术中维持BIS值50~60，比较两组丙泊酚与芬太尼的用量。结果布比卡因组丙泊酚和芬太尼应用剂量明显低于对照组，差异有统计学意义(P<0.05)。结论应用布比卡因行硬膜外麻醉复合全麻时，以达到BIS值50~60为目标，可以明显减少丙泊酚和芬太尼的用量。
목적：통과관찰BIS치연구경막외조체복합전신마취시부능감소병박분여분태니적용량。방법선취2012년8월~2013년8월수도의과대학석경산교학의원행하지수술32례환자，분위량조：포비잡인조(경막외조체급여0.125예포비잡인8 mL，수후지속응용미량주사빙이8 mL/h적속도빙주，16례)급대조조(경막외조체급여0.9예생리염수8 mL，16례)，수후균급여전신마취，술중유지BIS치50~60，비교량조병박분여분태니적용량。결과포비잡인조병박분화분태니응용제량명현저우대조조，차이유통계학의의(P<0.05)。결론응용포비잡인행경막외마취복합전마시，이체도BIS치50~60위목표，가이명현감소병박분화분태니적용량。
Objective To study if epidural anesthesia and general anesthesia can reduce maintenance doses of Propofol and Fentanyl or not by observing bispectral index (BIS). Methods From August 2012 to August 2013, in Shijingshan Teaching Hospital of Capital Medical University, 32 patients with surgery on lower extremities were selected, and divid-ed into two groups, Bupivacaine group (epidural block with 0.125% bupivacaine 8 mL, followed by continuous applica-tion of micro injection pump speed pump 8 mL/h, 16 cases) and control group (epidural block with 0.9% saline 8 mL, 16 cases). Then two groups were given general anesthesia, maintenance of BIS operation in 50-60, and Propofol and Fentanyl doses of two groups were compared. Results The Propofol and Fentanyl requirements doses of Bupivacaine group was lower than that of control group, the differences were statistically significant (P< 0.05). Conclusion Per-forming CGEA using bupivacaine can reduce Propofol and Fentanyl dose requires to maintain BIS levels was between 50 and 60 considerably.