摘要
目的:观察腹腔镜手术中血压和心率的变化及与麻醉深度的相关性。方法:选择30例ASAⅠ～Ⅱ级在全麻下行腹腔镜手术患者,行全凭静脉麻醉。麻醉期间采用Nar-cotrend监测麻醉深度,于麻醉诱导前5 min(T0)、气管插管即刻(T1)、气管插管后5 min(T2)、气腹开始即刻(T3)、气腹后5 min(T4)、气腹后15 min(T5)、气腹放气后5 min(T6)、气管拔管后5 min(T7)记录收缩压(SBP)、舒张压(DBP)、平均动脉压(MAP)、心率(HR)、NI(Narcotrend index),观察麻醉期间血压、心率的变化及其与NI的相关性。结果:SBP、DBP、MAP、HR和NI随时间变化,差异均有统计学意义(P<0.05)。结论:腹腔镜手术血流动力学波动明显,行Narco-trend分级监测可有效监测患者的意识状态和麻醉深度。
Objective：To examine the correlation of depth of anesthesia and blood pressure and heart rate changes.Methods：Thirty ASA Ⅰ-Ⅱ patients undergoing laparoscopic surgery received total intravenous anesthesia（TIVA）with propofol.During anesthesia,the patients were monitored by Narcotrend and kept recordings concerning systolic blood pressure（SBP）,diastolic blood pressure（DBP）,mean artery pressure（MAP）,heart rate（HR） and Narcotrend index（NI） at 5 min before induction（T0）,intubation（T1）,5 min after intubation（T2）,aeroperitonia start（T3）,5 min after aeroperitonia（T4）,15 min after aeroperitonia（T5）,5 min after deflation（T6）,and 5 min after extubation（T7）,respectively.BP and HR changes and the correlation of NI were also observed.Results：SBP,DBP,MAP,HR and NI changed with time extension,which suggested statistical difference（P0.05）.Conclusion：Laparoscopic procedure is associated with significant undulant hemodynamics,and Narcotrend index can be used for monitoring and estimating the patients′ consciousness and depth of anesthesia.
出处
《皖南医学院学报》
CAS
2012年第2期149-151,共3页
Journal of Wannan Medical College
