摘要
目的探讨narcotrend麻醉深度监测反馈调整丙泊酚经闭环靶控输注在妇科腹腔镜手术中的应用效果。方法选取2016年10月～2017年12月于我院行妇科腹腔镜手术的120例患者作为研究对象,根据麻醉监测方式将其分为观察组和对照组,每组各60例。观察组患者在narcotrend麻醉深度检测仪下给予麻醉药物,对照组患者根据麻醉师的经验给药。比较两组患者的药物使用剂量、苏醒时间及不良反应情况。结果观察组患者的丙泊酚、维库溴铵及瑞芬太尼使用剂量均少于对照组,差异有统计学意义(P<0.05)。观察组患者的自主呼吸恢复时间、呼之睁眼时间、拔管时间及定向力恢复时间均明显短于对照组,差异有统计学意义(P<0.05)。观察组患者的躯体扭动、头晕、恶心呕吐等不良反应发生率均低于对照组,差异有统计学意义(P<0.05)。结论 narcotrend麻醉深度监测反馈调整丙泊酚经闭环靶控输注应用于妇科腹腔镜手术,既能维持适当麻醉深度,又能减少麻醉药物的使用剂量,且安全性较高,值得临床推广。
Objective To investigate the application effect of narcotrend anesthesia depth monitoring feedback adjusting Propofol by closed-loop target-controlled infusion in gynecologic laparoscopic surgery.Methods One hundred and twenty patients undergoing gynecologic laparoscopic surgery from October 2016 to December 2017 in our hospital were selected as objects and divided into observation group and control group according to the different monitoring methods,with 60 cases in each group.In the observation group,anesthetic drug was provided under the narcotrend anesthesia depth monitor,while in the control group,drug was provided based on the anaesthetist′s experience.The doses of drugs,awakening time and adverse reactions between the two groups were compared.Results The doses of Propofol,Vecuronium,and Remifentanil in the observation group were less than those in the control group,and the differences were statistically significant(P<0.05).The spontaneous breathing recovery time,blinking time,extubation time and orientation recovery time in the observation group were significantly shorter than those in the control group,and the differences were statistically significant(P<0.05).The incidence of adverse reactions such as body writhing,dizziness,nausea and vomiting in the observation group was lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The narcotrend anesthesia depth monitoring feedback adjusting Propofol by closed-loop target-controlled infusion in gynecological laparoscopic surgery can maintain the appropriate depth of anesthesia,and also can reduce the dose of anesthetic drugs with high safety,which is worthy of clinical promotion.
作者
林丽田
黄芳
彭惠华
LIN Li-tian;HUANG Fang;PENG Hui-hua(Department of Anesthesiology,Panyu Central Hospital in Guangzhou City,Guangdong Province,Guangzhou 511400,China)
出处
《中国当代医药》
2018年第30期73-75,共3页
China Modern Medicine
