Narcotrend临床应用可靠性的文献分析

发布时间：2018-12-12 05:43

【摘要】：目的脑电监测是目前麻醉深度监测研究的热点,Narcotrend作为新型麻醉深度监护仪对麻醉/镇静的监测效果显著,但也存在不少缺陷。文中通过比较分析已发表的Narcotrend相关文献,评价Narcotrend麻醉深度监护仪在临床应用方面的可靠性。方法使用Pubmed、CBMDisc数据库、Google等搜索引擎进行电子检索和人工检索,获取Narcotrend在临床应用方面的文献40篇。依据入选标准和排除标准,选择其中23篇进行比较分析。结果在纳入的23篇文献中,对麻醉/镇静深度监测可靠性的评价:11篇做出肯定的评价、5篇做出否定或中立的评价;有7篇做出全麻苏醒时间缩短的评价;有6篇作出全麻药物用量减少的评价。结论 Narcotrend在麻醉/镇静深度监测可靠性方面存在矛盾结论,但依Narcotrend指导下临床麻醉可以使全麻苏醒时间缩短、相关麻醉药物用量减少。
[Abstract]:Objective EEG monitoring is a hot topic in the field of anesthetic depth monitoring at present. As a new type of anesthetic depth monitor, Narcotrend has a remarkable effect on anesthetic / sedation monitoring, but it also has many defects. The reliability of Narcotrend anaesthesia depth monitor in clinical application was evaluated by comparing and analyzing the published literatures about Narcotrend. Methods Pubmed,CBMDisc database, Google and other search engines were used for electronic and manual retrieval, and 40 articles on clinical application of Narcotrend were obtained. According to the selection criteria and exclusion criteria, 23 of them were selected for comparative analysis. Results the reliability of depth monitoring of anesthesia / sedation was evaluated in 23 articles: 11 were positive, 5 were negative or neutral, 7 were evaluated with shorter recovery time of general anesthesia. Six articles evaluated the decrease in the use of general anesthesia drugs. Conclusion there are contradictory conclusions on the reliability of Narcotrend in the depth monitoring of anesthesia / sedation, but clinical anesthesia under the guidance of Narcotrend can shorten the recovery time of general anesthesia and decrease the dosage of related narcotic drugs.
【作者单位】：南京军区南京总医院麻醉科;
【分类号】：R614

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