Narcotrend和脑电双频指数用于异丙酚靶控输注麻醉深度监测的准确性比较

发布时间：2018-04-01 13:01

本文选题：Narcotrend　切入点：脑电双频指数　出处：《检验医学与临床》2016年15期

【摘要】：目的比较Narcotrend(NT)和脑电双频指数(BIS)应用于异丙酚靶控输注(TCI)在无痛胃镜检查麻醉深度监测的准确性。方法选择90例接受无痛胃镜检查的患者,随机分为3组:对照组(常规给药组)、NT组(NT麻醉深度监测组)和BIS组(BIS麻醉深度监测组),每组各30例。3组患者均给予异丙酚TCI,并根据血流动力学参数、BIS值及NT值调整异丙酚的浓度。观察3组患者异丙酚总量、复苏时间、定向力恢复时间、生命体征及不良反应,并进行比较。结果 NT组和BIS组异丙酚总量、复苏时间、定向力恢复水平与对照组相比,均显著降低,且差异有统计学意义(P0.05),NT组患者定向力恢复时间较BIS组降低,且差异有统计学意义(P0.05)。3组患者平均动脉压(MAP)、心率(HR)、血氧饱和度(SpO_2)数值平稳,经麻醉后恢复到给药前水平。NT组和BIS组呼吸抑制、呛咳、体动和心动过速的发生率显著低于对照组(P0.05)。结论 NT和BIS应用于异丙酚TCI在无痛胃镜检查中均可达到合理的麻醉深度,NT组患者定向力恢复水平优于BIS组。
[Abstract]:Objective to compare the accuracy of NarcotrendNTand bispectral index (BIS) in propofol target-controlled infusion (TCI) in painless gastroscopy. They were randomly divided into three groups: control group (NT group) and BIS group (BIS group). 30 patients in each group were given propofol TCI, and BIS and NT values were measured according to hemodynamic parameters. The concentration of propofol was adjusted. The total propofol content was observed in three groups. Results the total amount of propofol, the time of resuscitation, the recovery level of directional force in NT group and BIS group were significantly lower than those in control group. The difference was statistically significant. The recovery time of directional force in the P0.05 group was lower than that in the BIS group, and the mean arterial pressure (MAPP), heart rate (HRP) and oxygen saturation (SPO _ 2) were stable in the P0.05 / NT group, and there was no significant difference in the mean arterial pressure (map), heart rate (HR) and oxygen saturation (SPO _ 2) between the two groups. After anesthesia, it returned to the level before administration. NT group and BIS group, respiratory inhibition, cough, The incidence of body movement and tachycardia was significantly lower than that of control group (P 0.05). Conclusion the application of NT and BIS in propofol TCI in painless gastroscopy can achieve a reasonable level of recovery of orientation in NT group than in BIS group.
【作者单位】：四川省广元市精神卫生中心麻醉科;
【分类号】：R614

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