rSO2-BIS监测在儿童肱骨髁上骨折手术中的应用研究

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国家科技期刊平台
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中文摘要：目的探讨局部脑氧饱和度(regional cerebral oxygen saturation,rSO2)-脑电双频指数(bispectral index,BIS)监测麻醉方式在儿童肱骨髁上骨折手术中的应用.方法选取江西省儿童医院骨科2020年1月至2022年12月收治的60例肱骨髁上骨折手术患儿,按随机数字表法分为对照组和观察组,每组30例.观察组患儿麻醉后给予rSO2-BIS监测,对照组患儿给予常规麻醉管理.结果观察组患儿的丙泊酚中/长链脂肪乳和瑞芬太尼注射液用量明显少于对照组(P＜0.05);患儿苏醒时各时间点的心率、血氧饱和度及平均动脉压比较,差异无统计学意义(P＞0.05);术后镇痛药补救率低于对照组,拔管时间短于对照组(P＜0.05);术后不良反应发生率及不良行为率低于对照组(P＜0.001).多因素分析结果发现丙泊酚中/长链脂肪乳和瑞芬太尼注射液的用量是诱发患儿术后出现不良反应和不良行为的独立危险因素,rSO2-BIS监测是减少患儿术后出现不良行为和不良反应的关键因素(P＜0.05).结论儿童肱骨髁上骨折术中采用rSO2-BIS监测可降低手术患儿术后不良行为和不良反应的发生率,进而改善术后疗效.

外文标题：Application study of rSO2-BIS monitoring in children with supracondylar fracture of humerus

外文摘要：Objective To explore the application of regional cerebral oxygen saturation(rSO2)-bispectral index(BIS)monitoring anesthesia in children undergoing surgery for supracondylar fractures of the humerus.Methods A total of 60 children with supracondylar fractures of the humerus undergoing surgery in Department of Orthopedi,Jiangxi Provincial Children's Hospital were chosen and randomly number table method segmented into control group and observation group from January 2020 to December 2022,30 cases in each group.After anesthesia,children in observation group were carried out with rSO2-BIS monitoring,while children in control group were given routine anesthesia management.Results The dosage of propofol and long chain fat emulsion/remifentanil injection in observation group were significantly lower than those in control group(P＜0.05),while there was no difference in heart rate,blood oxygen saturation and mean arterial pressure at various time points during awakening(P＞0.05);The recovery rate of postoperative analgesics of observation group was lower than that of control group,and the extubation time of observation group was shorter than that of control group(P＜0.05);The incidence of postoperative adverse reactions and behaviors in observation group were lower than those in control group(P＜0.001).The dosage of propofol and long chain fat emulsion/remifentanil injection,as the independent risk factors inducing the occurrence of postoperative adverse reactions and adverse behaviors were proved by multivariate analysis.rSO2-BIS monitoring is a key factor in reducing postoperative adverse behaviors and reactions in pediatric patients(P＜0.05).Conclusion The use of rSO2-BIS monitoring during surgery for supracondylar fractures of the humerus in children can reduce the incidence rate of postoperative adverse behaviors and adverse reactions,thereby improving postoperative efficacy.

外文关键词：

Supracondylar fracture of humerusRegional cerebral oxygen saturationBispectral indexMultimodal anesthesia managementPostoperative adverse reactionPostoperative adverse behavior

作者：

罗春芳、冯应辉、章征兵、许凯、李明、欧阳卫东

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作者单位：

江西省儿童医院麻醉科,江西南昌 330000

关键词：

肱骨髁上骨折局部脑氧饱和度脑电双频指数多模式麻醉管理术后不良反应术后不良行为

基金：

江西省卫生健康委科技计划项目

项目编号：

202211243

出版年：

2024

DOI：

10.3969/j.issn.1673-9701.2024.27.005

中国现代医生

中国医学科学院

中国现代医生

影响因子：1.571

ISSN：1673-9701

年,卷(期)：2024.62(27)