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首页> 外文期刊>Advances in Bioscience and Clinical Medicine >Comparison of Anesthesia Depth Monitoring using Conventional and Bispectral Index on Incidence and Severity of Nausea and Vomiting after Urological Surgeries
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Comparison of Anesthesia Depth Monitoring using Conventional and Bispectral Index on Incidence and Severity of Nausea and Vomiting after Urological Surgeries

机译：使用常规和双频谱指数对泌尿外科手术后恶心和呕吐的发生率和严重性及麻醉深度进行监测的比较

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Bispectral index parameter is used to guide the titration of general anesthesia. This monitoring improves recovery times and hospital discharges, as well as minimizes adverse events. The objective of this study is the comparison of anesthesia depth monitoring by conventional and bispectral index on nausea and vomiting after urological surgery. 180 participants who were scheduled for abdominal urological surgery were studied. Patients before induction of anesthesia were randomize into two groups with and without bispectral index monitoring. Incidence and severity of nausea and vomiting were recorded every 30 minutes for 2 hours and every 6 hours to 24 hours after surgery. The incidence of postoperative nausea and vomiting in Bispectral index group is 14.4% and 8.9% and in control group 28.9% and 23.3%, respectively. The risk of nausea and vomiting after surgery was reduced by 14.5% and 14.4%, respectively in patients monitored with bispectral index. INTRODUCTION Nausea is the conscious perception of medulla stimulation that is associated with vomiting center and create vomiting response (1). General anesthesia with the use of inhalants can cause nausea and vomiting after surgery (Postoperative nausea and vomiting, PONV). The incidence of PONV is reported about 20-30 percent (2). It seems that multiple-factor can cause PONV and few items such as anesthetic drugs, kind of surgery and personal risk factors is effective on PONV. These factors make into two categories that includes factors out of control by anesthesiologists and factors can control by anesthesiologists. 1. Factors out of control by anesthesiologists: some of these factors are age, gender, past history of PONV and motion sickness, smoking, kind of surgery, operating time and anesthesia time, anxiety of patients and parents. 2. Factors controlled by anesthesiologists: these factors are associated of anesthesia settings, including premedications, kind of anesthesia, anesthesia drugs during surPublished by Australian.
机译：双谱指数参数用于指导全身麻醉的滴定。这种监视可以改善恢复时间和出院时间，并最大程度地减少不良事件。这项研究的目的是比较常规和双频指数麻醉深度监测对泌尿外科手术后恶心和呕吐的影响。对计划进行腹部泌尿外科手术的180名参与者进行了研究。麻醉诱导前的患者被随机分为两组，有和没有双光谱指数监测。手术后每30分钟记录2小时，每6小时至24小时记录一次恶心和呕吐的发生率和严重程度。双光谱指数组术后恶心和呕吐的发生率分别为14.4％和8.9％，对照组为28.9％和23.3％。使用双光谱指数监测的患者，手术后恶心和呕吐的风险分别降低了14.5％和14.4％。引言恶心是对髓质刺激的有意识感知，它与呕吐中心相关并产生呕吐反应（1）。全身麻醉配合吸入剂可引起手术后恶心和呕吐（术后恶心和呕吐，PONV）。据报道PONV的发病率约为20％至30％（2）。似乎多因素可引起PONV，而麻醉药，手术类型和个人危险因素等几项因素对PONV有效。这些因素分为两类，包括麻醉师无法控制的因素和麻醉师可以控制的因素。 1.麻醉师无法控制的因素：其中一些因素是年龄，性别，PONV的既往史和晕车病，吸烟，手术种类，手术时间和麻醉时间，患者和父母的焦虑症。 2.麻醉师控制的因素：这些因素与麻醉环境有关，包括处方药，麻醉种类，sursury期间麻醉药物。

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