期刊论文

Youjing, S.

中文

中华麻醉学杂志

0254-1416

2022

42

4

394-398

10.3760/cma.j.cn131073.20220102.00403

江苏省青年医学重点人才项目(QNRC2016337)。

本校为第一机构

目的:评价BIS指导下全麻对腔镜胃肠肿瘤切除术老年患者术后疲劳综合征(POFS)的影响。方法:择期行腔镜胃肠肿瘤切除术患者90例，年龄65~80岁，BMI 18~25 kg/m 2，ASA分级Ⅰ~Ⅲ级，无术前疲劳。采用随机数字表法分为3组( n＝30)：对照组(C组)、BIS值40~49组(B1组)和BIS值50~60组(B2组)。采用静吸复合全麻。B1组术中BIS值维持40~49，B2组术中BIS值维持50~60、C组术中维持HR和MAP波动幅度不超过基础值的20%，必要时给予血管活性药物。术后采用舒芬太尼+地佐辛+帕洛诺司琼行PCIA，VAS评分>3分时，口服氨酚羟考酮片5 mg或静脉注射氟比洛芬酯50 mg进行补救镇痛。分别于术前1 d和术后1、3、7、30 d时行...

Objective To evaluate the effect of general anesthesia under the guidance of bispectral index (BIS) on postoperative fatigue syndrome (POFS) in elderly patients undergoing laparoscopic resection of gastrointestinal tumor. Methods A total of 90 patients of both sexes, aged 65-80 yr, with body mass index of 18-25 kg/m2 , of American Society of Anesthesiology physical status I -M, undergoing elective laparoscopic resection of gastrointestinal tumor, were divided into 3 groups (n = 30 each) using a random number table method; control group (C group...