以下(xià)文(wén)章(zhāng)來(lái)♦♣←源于小(xiǎo)麻哥(gē)的(de)日(rì)常 ，作(zuò)者兩隻小(xiǎo)綿羊
摘要(yào)譯文(wén)（供參考）
手術(shù)體(tǐ)積指數(shù)在無阿片麻醉✘ δ↓中的(de)應用(yòng)：一(yī)項随機(jī)對(duì)®✔照(zhào)試驗
背景：
目前，對(duì)手術(shù)過程中的♠₹α(de)有(yǒu)害刺激監測尚無金(jīn)标準，手術(shù£←×φ)體(tǐ)積指數(shù)(SPI)隻是(shì)衆多(duō 'δ )監測方法中的(de)一(yī)種。它常用(÷"§&yòng)于常規阿片類麻醉的(de)監測，但 ≠(dàn)其在無阿片類藥物(wù)麻醉(OFA)中的(de)有(yǒu)效性尚未得(de)到(dào)評估。↔φ∞€因此，本研究的(de)目的(de)是(s∏★hì)觀察手術(shù)體(tǐ)積指數(shùγ&Ω)在無阿片類麻醉中對(duì)下(xià)腹部或盆腔手術(shù)患者的(≥≤de)指導價值。
方法：
選擇2021年(nián)3月(yuè)至2022年(nián)7月(yu♥è)在我院行(xíng)下(xià)腹部或盆腔手術(shù)的(de)患者12≠σ©÷2例，按随機(jī)數(shù)字表法平均分(♣γfēn)為(wèi)OFA組(F組)和(hé)對(duì)λ¶照(zhào)組(C組)，兩組均按手術(shù)野在超聲引導下(xià)仰卧↕→位行(xíng)單側/雙側腰方肌阻滞術(shù)©€™¶。F組每側注射0.50%利多(duō)卡因和(hé)0.20%羅哌卡因(溶于20mL0.9%生(shēng)♥÷♦♦理(lǐ)鹽水(shuǐ)中)，C組每側注射20mL0.9%生(s∏÷≥hēng)理(lǐ)鹽水(shuǐ)。觀察兩組患±" 者的(de)血壓、脈搏血氧飽和(hé)度、PetCO2、反應熵、狀态熵、SPI值、Steward評分(fēn)、異丙酚、右美(měi)托咪啶、羅庫溴铵、地→≈(dì)爾硫卓劑量、拔管時(shí)間(jiān)$•↑γ、蘇醒時(shí)間(jiān)。
結果：
兩組間(jiān)的(de)一(yī)般數 ≈γ(shù)據無顯著差異(P>.05)，兩組間(jiā ∏±n)在T0、T1、T2、T3、T4和(hé)T5時(shí)的™ε→(de)SPI值或需要(yào)額外(wài)使用(yòng)瑞芬太尼、丙Ωδ≤泊酚和(hé)地(dì)爾硫卓的(de)病例數(shù)無顯¥≠著差異(P>.05)。在T4和(hé)T ₹₹♠5時(shí)，F組的(de)狀态熵、反應熵和(hé)Steward↓₽評分(fēn)高(gāo)于C組，而拔管時(shí)間(jiān)<≥☆和(hé)蘇醒時(shí)間(jiān)F組低(π•dī)于C組(P<0.05)，在T3時(shí)，F組的(de)心率和§<α(hé)SPI低(dī)于C組(P<0∑'∞×.05)。
結論：
SPI在OFA中的(de)指導價值與其在麻醉中的(de)應用(yσ↑òng)相(xiàng)似，臨床療效确切，生(shēng)命體(tǐλβ®)征穩定，能(néng)迅速、完全地(dì)恢複意識。
原文(wén)摘要(yào)
Application of surgical σpleth index in the opioid•≥₹-free anesthesia: A randomized ↕©controlled trial
Background：Currently, there is no gold stanΩ <dard for monitoring noxiou≤↓™±s stimulation during su←<₽rgery, and the surgical pleth index (S±Ω∑γPI) is only one of many monitoring ♠↓methods. It is commonly±®₽γ used in the monitoring of conventioα ✔✘nal opiate anesthesia, but its effπ•ectiveness in opioid-fr€β☆¥ee anesthesia (OFA) hasγ↓ not been evaluated. Therefore, the aim★λ of this study was to observe t£™he guidance value of ≥αthe surgical pleth index in opioid∏★φ-free anesthesia for patients ✘undergoing lower abdominal or p∑↑≠←elvic surgery.Methods：A total of 122 patients who und✔↕erwent lower abdomina←λ₽$l or pelvic surgery in our hospi±•γtal between March 2021 and July ®♥§2022 were selected a→ ≈nd equally divided into OFA (F) and≤¥¶ control (C) groups a±✔≈ccording to the random number table &→≥♥method. Both groups un ±✘derwent ultrasound-guided uni<☆•lateral/bilateral quadratusπ " lumborum block in the supine po $±sition according to t ♣he surgical field. In group F, 0.50% l↔★♥idocaine and 0.20% ropivacai±¶☆ne (in 20 mL of 0.9% ε←$normal saline) were injected on each si±♦αde. In group C, 20 m↓× L 0.9% normal saline$®✘↔ was injected on each s÷♣★δide. Group F received β✔ ↑general anesthesia withou ✘∏♦t opioids and group C receive&≥d general anesthesia with opioids. BP,✘ pulse oxygen saturation, PETCO2, ↑•€reactionentropy, stateent₽$↓₽ropy, and SPI values; St÷φeward score; dosage of propofol, dex£≠♣®medetomidine, rocuronium↑$, and diltiazem; extubation time;×∞↔& and awake time were monitored♦©↕ in both groups.Results：There were no signifσ∏icant differences in the general data ∞between the 2 groups'$≥γ (P > .05). There were no signif₩Ωα♠icant differences in SPI values♣δ at T0, T1, T2, T3, T4, and T5 or the n↕♦≠umber of cases requirin♦←g additional remifentanil,™≥ propofol, and diltiazem between th™®✔e 2 groups (P > .05). The statee¥≠πntropy, reactionentropy, and Ste↕σward scores were highe×♦✔r in group F than in group C at T4 a¶∏ "nd T5, while the extubation and awake©β times were lower in grou$®©p F than in group C (P <≠¶ ; .05). The heart rate and SPI o✔¥€÷f group F were lower than •Ω÷that of group C at T3 (P < .05)∏π.
Conclusion：The guiding value of₹→ SPI in OFA was similar t&σ∑o its use in opiated anesthesia. I→♥φ↔ts clinical efficacy is exact, α vital signs are stable, enabling ra₹ ∞pid, and complete regaining£→λ≈ of consciousness.
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