摘要
目的：研究Narcotrend（NT，麻醉趋势指数）对小儿腹腔镜手术术毕恢复质量监测的可行性。方法：择期行腹腔镜手术的患儿50例，6—12岁，用七氟醚和瑞芬太尼静吸复合麻醉维持，所有患者在消除气腹停止七氟醚和缝皮最后一针停止瑞芬太尼输注，术毕对患儿进行气管吸痰评分（tracheal suctioningscore，TSS）、Ramsay评分以及意识恢复情况相对应的监测数值NT的测定。结果：NT值随对应镇静评分的增大（镇静程度的加深）而减小，NT与TSS（r=-0．51，P〈0．01）和Ram-say评分（r=-0．68，P〈0．01）呈显著负相关。NT在意识恢复3个阶段差异有统计学意义（P〈0．01）。NT和Narcotrend分级与意识恢复变化的Spearman相关系数分别是0．69和0—0．57（P〈0．01）。结论：NT与术毕恢复质量具有明显的相关性，能够有效反映6—12岁小儿腹腔镜手术全麻恢复期镇静水平和意识恢复水平的变化。
Objective： To research the feasibility of Narcotrend in monitoring quality of recovery after pediatric laparoscopic surger- y. Methods： Laparoscopie surgery was conducted in fifty children aged 6 - 12 years; intraoperative anesthesia was maintained with sevoflu- rane and remifentanil, intravenous injection of remifeutanil was stopped when eliminating pneumoperitoneum, stopping sevoflurane and in the end of skin closure in all the children ; after operation, tracheal suctioning score （TSS） , Ramsay score, Narcotrend and recovery of con- sciousness were measured. Results： Narcotrend decreased with increase of corresponding Ramsay score, there was a significant negative cor- relation between Narcotrend and TSS score （r = -0. 51, P 〈0. 01 ） , Ramsay score （r = -0. 68, P 〈0. 01 ） . There was statistically signif- icant difference in Narcotrend among the children at three stages of consciousness recovery （P 〈 0. 01 ） . The correlation coefficients of Nar- eotrend and classification, recovery of consciousness were 0. 69 and - 0. 57, respectively （ P 〈 0. 01 ） . Conclusion ： The is a significantcorrelation between Narcotrend and quality of recovery, after operation, and Narcotrend can effectively reflect the changes of sedation level and recovery of consciousness in 6 - 12 - year - old children after laparo- scopic surgery.
出处
《中国妇幼保健》
CAS
北大核心
2013年第25期4156-4158,共3页
Maternal and Child Health Care of China
基金
广东省自然科学基金资助项目〔No.915100890100012〕
广东省自然科学基金资助项目〔No.10151008004000010〕
