全身麻醉中双频谱指数监测与传统监测的效果评估:系统综述与元分析》。

IF 1.6 Q2 ANESTHESIOLOGY
Anesthesiology Research and Practice Pub Date : 2024-08-07 eCollection Date: 2024-01-01 DOI:10.1155/2024/5555481
Yichun Gu, Jiajun Hao, Jiangna Wang, Peng Liang, Xinyi Peng, Xiaoxiao Qin, Yunwei Zhang, Da He
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引用次数: 0

摘要

背景和目的。双光谱指数(BIS)用于指导手术过程中的麻醉深度监测。然而,许多研究都报道了有关 BIS 对麻醉深度监测的益处的相互矛盾的结果。本荟萃分析和系统综述旨在评估 BIS 对麻醉深度监测的有效性。检索方法。从开始到 2023 年 4 月 20 日,对 Ovid-MEDLINE、Cochrane 和 PubMed 进行了系统检索。此外,还检索了临床试验登记簿和灰色文献,并人工审阅了纳入研究的参考文献目录以及相关综述文章。筛选标准。纳入标准为随机对照试验,无性别和年龄限制。对照组使用常规监测,干预组使用 BIS 监测。排除标准包括重复、综述、动物研究、结果不明确和数据不完整。数据收集与分析。两名独立审稿人筛选文献、提取数据、评估方法学质量,并使用 R 4.0 软件进行分析。主要结果。共纳入 40 项研究。与传统的麻醉深度监测相比,BIS 监测降低了术后认知功能障碍风险(RR = 0.85,95% CI:0.73∼0.99,P = 0.04),缩短了睁眼时间(MD = -1.34,95% CI:-2.06∼-0.61,P <0.01),定向恢复时间(MD = -1.99,95% CI:-3.62∼-0.36,P = 0.02)、拔管时间(MD = -2.54,95% CI:-3.50∼-1.58,P <0.01)和麻醉后护理单元停留时间(MD = -7.11,95% CI:-12.67∼-1.55,P = 0.01),并降低了麻醉药物剂量(SMD = -0.39,95% CI:-0.63∼-0.15,P <0.01)。结论BIS 可用于有效监测麻醉深度。在全身麻醉中使用 BIS 可提高患者护理和手术过程的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effectiveness Assessment of Bispectral Index Monitoring Compared with Conventional Monitoring in General Anesthesia: A Systematic Review and Meta-Analysis.

Background and Objective. The Bispectral Index (BIS) is utilized to guide the depth of anesthesia monitoring during surgical procedures. However, conflicting results regarding the benefits of BIS for depth of anesthesia monitoring have been reported in numerous studies. The purpose of this meta-analysis and systematic review was to assess the effectiveness of BIS for depth of anesthesia monitoring. Search Methods. A systematic search of Ovid-MEDLINE, Cochrane, and PubMed was conducted from inception to April 20, 2023. Clinical trial registers and grey literature were also searched, and reference lists of included studies, as well as related review articles, were manually reviewed. Selection Criteria. The inclusion criteria were randomized controlled trials without gender or age restrictions. The control groups used conventional monitoring, while the intervention groups utilized BIS monitoring. The exclusion criteria included duplicates, reviews, animal studies, unclear outcomes, and incomplete data. Data Collection and Analysis. Two independent reviewers screened the literature, extracted data, and assessed methodological quality, with analyses conducted using R 4.0 software. Main Results. Forty studies were included. In comparison to the conventional depth of anesthesia monitoring, BIS monitoring reduced the postoperative cognitive dysfunction risk (RR = 0.85, 95% CI: 0.73∼0.99, P = 0.04), shortened the eye-opening time (MD = -1.34, 95% CI: -2.06∼-0.61, P < 0.01), orientation recovery time (MD = -1.99, 95% CI: -3.62∼-0.36, P = 0.02), extubation time (MD = -2.54, 95% CI: -3.50∼-1.58, P < 0.01), and postanesthesia care unit stay time (MD = -7.11, 95% CI: -12.67∼-1.55, P = 0.01) and lowered the anesthesia drug dosage (SMD = -0.39, 95% CI: -0.63∼-0.15, P < 0.01). Conclusion. BIS can be used to effectively monitor the depth of anesthesia. Its use in general anesthesia enhances the effectiveness of both patient care and surgical procedures.

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来源期刊
CiteScore
3.10
自引率
0.00%
发文量
29
审稿时长
18 weeks
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