CAJ | 학술논문

危重患儿的镇静监测必须个体化并具有连续性。脑电图衍生而来的工具如脑电双频指数( BIS)作为近些年来用于镇静监测最广泛的客观工具之一,使得镇静的持续监测变为可能。研究显示,BIS与主观评估工具即不同的临床镇静量表之间的相关性结果存在变异性,用于区分镇静不足和适度镇静的BIS值在70左右,与其他的客观评估工具相比在镇静方面亦显示其有独特的优势。有很多因素会影响临床医师对BIS的正确解读。 BIS在成人中研究和应用较多,但在危重患儿应用方面的经验仍然较少。现将国外有关BIS在危重症患儿镇静监测中的研究进行综述。
위중환인적진정감측필수개체화병구유련속성。뇌전도연생이래적공구여뇌전쌍빈지수( BIS)작위근사년래용우진정감측최엄범적객관공구지일,사득진정적지속감측변위가능。연구현시,BIS여주관평고공구즉불동적림상진정량표지간적상관성결과존재변이성,용우구분진정불족화괄도진정적BIS치재70좌우,여기타적객관평고공구상비재진정방면역현시기유독특적우세。유흔다인소회영향림상의사대BIS적정학해독。 BIS재성인중연구화응용교다,단재위중환인응용방면적경험잉연교소。현장국외유관BIS재위중증환인진정감측중적연구진행종술。
Sedation monitoring of the critically ill children must be individualized and continuous. Electroen-cephalography-derived method———bispectral index( BIS) is one of the most widely used objective sedation monitoring methods in recent years,permitting continuous monitoring. Some studies reported the correlations between BIS and the clinical scales were varing. The BIS value of 70 or so may distinguish between adequate and inadequate sedation. BIS has some unique advantages over other objective methods. Many factors may influence the right interpretation of BIS. On the whole, the researches and applications of BIS are mainly in adults, the experience is relatively less in critical ill children. This article reviews the studies of BIS in critical ill children for sedation monitoring.