Narcotrend监测仪用于老年患者全身麻醉中麻醉深度的临床观察

发布时间：2018-09-03 09:52

【摘要】：目的探讨研究Narcotrend监测仪在老年患者全身麻醉中麻醉深度的临床应用。方法选择我院2013年2月-2014年12月期间我院全身麻醉下行直肠癌手术的老年患者90例,随机分成浅麻醉组、深麻醉组和对照组,各30例。浅麻醉组和深麻醉组使用常规监测外加Narcotrend监测仪监测患者的麻醉深度。观察比较3组患者的手术时间(t1)、术后睁眼时间(t2)、拔管时间(t3)、术后定向力的恢复时间(t4)以及瑞芬太尼和丙泊酚的用量;调查患者术中知晓情况和术后认知功能障碍(POCD)的发生情况。结果 3组患者的t2、t3、t4以及丙泊酚的用量依次升高且两两之间的差异均有统计学意义(P0.05),3组患者t1和瑞芬太尼的用量之间差异无统计学意义(P0.05)。手术中3组患者均未出现术中知晓的情况,深麻醉组有1名患者(3.33%)出现POCD,其他两组没有出现。结论在老年患者全身麻醉中应用Narcotrend监测仪监测麻醉深度可以适当减少麻醉药用量,缩短患者苏醒时间、促进患者恢复,具有重要的临床指导意义。
[Abstract]:Objective to investigate the clinical application of Narcotrend monitor in general anesthesia of elderly patients. Methods from February 2013 to December 2014, 90 elderly patients undergoing rectal cancer surgery under general anesthesia in our hospital were randomly divided into three groups: superficial anesthesia group, deep anesthesia group and control group (30 cases each). Routine monitoring and Narcotrend monitor were used to monitor the anesthetic depth in the shallow anesthesia group and the deep anesthesia group. The operative time (T1), postoperative eye opening time (T2), extubation time (T3), recovery time of postoperative orientation (t4) and the dosage of remifentanil and propofol were observed and compared among the three groups. Results the dosage of t2t3, t4 and propofol increased in turn and the difference was significant (P0.05). There was no significant difference between the dosage of T1 and remifentanil in the three groups (P0.05). There was no intraoperative knowledge in all the three groups, and one patient (3.33%) in the deep anesthesia group had no POCD, in the other two groups. Conclusion the application of Narcotrend monitor to monitor the depth of anesthesia in elderly patients with general anesthesia can reduce the dosage of anesthetic, shorten the time of recovery and promote the recovery of patients. It has important clinical significance.
【作者单位】：广东省东莞市常平医院麻醉科;
【分类号】：R614.2

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