Narcotrend指数在学龄前儿童腹腔镜手术麻醉中的应用与比较

发布时间：2018-03-20 03:32

本文选题：腹腔镜　切入点：麻醉深度　出处：《岭南现代临床外科》2016年04期 　论文类型：期刊论文

【摘要】：目的探讨Narcotrend index、Bispectral index及Entropy index在学龄前儿童腹腔镜手术中的敏感性。方法选择120例腹腔镜择期手术患儿,分Narcotrend指数组(NTI组)、BIS指数组(BIS组)、Entropy指数组(E组)及对照组(D组),每组30例。静注麻醉诱导药物,插入气管导管后行机械通气,吸入七氟烷复合输注瑞芬太尼进行维持。记录入室到出室之间各观察阶段的MAP、Sp O2、HR、NTI值、BIS值、熵指数值;记录手术时长、停药至自主呼吸恢复时间、计算七氟烷与瑞芬太尼用量。结果 N组中,T3、T4及T9与T2时刻比较,Narcotrend index指数值上升(P0.05),且停药至自主呼吸恢复时间NTI组较其余组缩短(P0.01);NTI组七氟烷及瑞芬太尼用量与其余组比较,用量减少(P0.05)。结论 Narcotrend Index应用于学龄前儿童腹腔镜手术中的麻醉深度敏感性略优于Bispectral index及Entropy index,使用Narcotrend index进行麻醉深度监测,更能够减少麻醉药物用量,缩短苏醒时间,PRST波动小。
[Abstract]:Objective to investigate the sensitivity of Narcotrend index bispectral index and Entropy index in laparoscopic surgery for preschool children. The patients were divided into Narcotrend index group (n = 30) and control group (n = 30) and control group (n = 30). Anesthetic induction drugs were injected intravenously into trachea catheter and then mechanical ventilation was performed. Inhaled sevoflurane combined infusion of remifentanil was maintained. The values of MAPSpO2 HRNTI, BIS, entropy index, duration of operation, time from withdrawal to spontaneous respiratory recovery were recorded. Results the values of Narcotrend index index in group N were higher than those in group T 2, and the dosage of sevoflurane and remifentanil in group NTI was shorter than that in other groups. Conclusion Narcotrend Index is better than Bispectral index and Entropy indexs in the sensitivity of anesthesia depth in preschool children laparoscopic surgery. Using Narcotrend index to monitor the depth of anesthesia can reduce the dosage of anesthetic drugs and shorten the recovery time.
【作者单位】：深圳市儿童医院麻醉科;北京大学深圳医院麻醉科;
【基金】：广东省深圳市科技创新委员会项目(JCYJ20140416141331508)
【分类号】：R726.1

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