麻醉深度监测在老年普外科手术中的应用

发布时间：2018-07-09 16:06

  本文选题：麻醉深度监测 + 老年　； 参考：《中国现代普通外科进展》2016年10期

【摘要】：探讨麻醉深度监测在老年患者普外科手术中的应用价值。选取我院符合标准的住院患者共70名,随机分为试验组和对照组,每组35例。试验组术中采用Narcotrend麻醉深度监测仪进行监测,对照组仅行生命体征检测。记录两组患者术中8个规定时间点的心率(HR)、平均动脉压(MAP),术中丙泊酚、瑞芬太尼及去甲肾上腺素的用量及手术时长、麻醉恢复时间等指标。两组各时间点MAP、HR及手术时长比较差异无统计学意义(P0.05),术中血流动力学均平稳。与对照组比较,试验组麻醉恢复时间、PACU观察时间明显缩短(t=6.79,P0.01;t=12.10,P0.01);试验组丙泊酚、瑞芬太尼及去甲肾上腺素均明显减少(t=6.71,P0.01;t=5.53,P0.01;t=16.47,P0.01)。对于老年患者,应用麻醉深度监测可以明显减少麻醉药物用量,缩短患者苏醒时间及PACU观察时间,利于老年患者麻醉后管理。
[Abstract]:To explore the application value of depth monitoring of anesthesia in general surgery of elderly patients. A total of 70 inpatients in our hospital were randomly divided into trial group and control group with 35 cases in each group. Narcotrend anaesthesia depth monitor was used in the trial group, while the vital signs were only detected in the control group. Heart rate (HR), mean arterial pressure (map), propofol, remifentanil and norepinephrine were recorded in the two groups. There was no significant difference in MAPHR and the length of operation between the two groups (P0.05). The hemodynamics of the two groups was stable. Compared with the control group, the observation time of PACU in the trial group was significantly shorter than that in the control group (t = 6.79 / P 0.01 / 12. 10 / P0.01), and the levels of propofol, remifentanil and norepinephrine were significantly decreased (t = 6.71 / P ~ (0.01) P ~ (0.01) / t ~ (5.53) P ~ (0.01) / t ~ (16.47) / (P ~ (0.01). For the elderly patients, the application of depth monitoring of anesthesia can significantly reduce the amount of narcotic drugs, shorten the time of recovery and PACU observation, which is beneficial to the management of the elderly patients after anesthesia.
【作者单位】： 北京石景山医院麻醉科;
【分类号】：R614
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本文编号：2109901