Narcotrend麻醉深度监测在患儿无痛胃镜检查中的应用

发布时间：2018-06-03 16:15

本文选题：小儿 + 无痛胃镜　；参考：《临床麻醉学杂志》2015年03期

【摘要】：目的探讨Narcotrend麻醉深度指数(NI)指导患儿无痛胃镜检查中丙泊酚用药的可行性。方法 60例行无痛胃镜检查的患儿,随机均分为对照组(C组)、NI目标控制组(NI组)。两组患儿均给予丙泊酚2~3.5mg/kg缓慢静推,C组患儿肢体无自主扭动、按压眶上神经无反应后开始检查,术中有呛咳或体动时追加丙泊酚;NI组患儿注药前监测NI值,使患儿即时NI值降至D2(NI值46~37),根据NI是否在目标控制范围适当追加用药。连续监测并记录两组患儿诱导前、意识消失、术毕、清醒时的HR、BP、SpO2,并记录两组患儿发生体动时的HR、BP、SpO2。记录两组患儿诱导时间、苏醒时间、丙泊酚用量、不良反应的发生情况。结果两组意识消失时的HR明显慢于,MAP明显低于诱导前(P0.05);C组发生体动时的HR明显快于意识消失时(P0.05);NI组苏醒时间明显短于,体动发生率明显低于C组(P0.05)。结论 Narcotrend麻醉深度监测对指导患儿无痛胃镜检查术中的丙泊酚用药有很好的指导意义,有效降低术中并发症发生率,且术后恢复快而完全。
[Abstract]:Objective to explore the feasibility of propofol using Narcotrend anesthesia depth index (NI) for painless gastroscopy. Methods 60 children with painless gastroscopy were randomly divided into control group (group C) and NI target control group (group NI). The two groups were given propofol 2~ 3.5mg/kg slow static push, group C children's limb involuntary twisting and compression of orbit. When the upper nerve was unreacted, the patients were examined with coughing or moving with propofol during the operation. The NI value of the NI group was monitored before injection, and the NI value of the children was reduced to D2 (NI value 46~37). According to whether the NI was appropriately added to the target control range, the consciousness disappeared, and the HR, BP, SpO2, and records of the two groups were recorded and recorded, and the records were recorded and recorded. The two groups of children took HR, BP, and SpO2. to record the time of induction, the time of recovery, the dosage of propofol and the occurrence of adverse reactions. Results the HR of the two groups was significantly slower than that before the induction (P0.05), and the HR in the C group was obviously faster than that of the consciousness (P0.05), and the awakening time of the NI group was significantly shorter than that in the NI group. The incidence of activity was significantly lower than that of the C group (P0.05). Conclusion the monitoring of Narcotrend anesthesia depth is of great guiding significance to the use of propofol in the operation of painless gastroscopy, which can effectively reduce the incidence of intraoperative complications, and the postoperative recovery is fast and complete.
【作者单位】：济南市儿童医院麻醉科;山东省千佛山医院特检科;济南市儿童医院消化内科;
【分类号】：R726.1

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