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麻醉深度指数在临床麻醉中的应用进展
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Abstract:
麻醉深度监测在临床麻醉中应用日益广泛。术中监测麻醉深度，既可以指导术中用药，又可以减少术后麻醉相关并发症的发生。麻醉深度指数(depth of anesthesia index, AI)作为一种新近研发的麻醉深度监测仪器，主要针对意识及镇静水平的变化来进行麻醉状态分析。本文总结了AI的临床应用进展，以及与临床上常用麻醉深度仪器——脑电双频指数(BIS)的比较。因为AI值是基于亚洲人的脑电数据计算出的数值，所以它更适合中国人的术中麻醉监测，可以有效防止麻醉过深，尽可能减少麻醉药物的毒副作用，缩短苏醒时间；防止麻醉过浅，可避免术中知晓，提高患者术中对重大创伤的应激能力。
Anesthesia depth monitoring is widely used in clinical anesthesia. Intraoperative monitoring of anesthesia depth can not only guide intraoperative medication, but also reduce the incidence of postoperative anesthesia related complications. As a newly developed depth of anesthesia monitoring instrument, AI is mainly used to analyze the changes of consciousness and sedation level. This paper summarizes the clinical application of AI and its comparison with BIS. Because AI value is calculated based on the EEG data of Asian people, it is more suitable for intraoperative anesthesia monitoring of Chinese people, which can effectively prevent excessive anesthesia, minimize the toxic and side effects of narcotic drugs, and shorten the recovery time; the prevention of shallow anesthesia can avoid intraoperative awareness and improve the stress ability of patients with major trauma.
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