摘要
目的探讨Narcotrend监测系统在腹腔镜胆囊切除手术中的应用价值。方法将2017年4月至2020年4月间在我院进行治疗的90例腹腔镜胆囊切除手术患者作为研究对象,随机分为研究组(n=45)以及对照组(n=45)。对照组由麻醉医师结合临床经验对麻醉深度进行适当调整,研究组借助Narcotrend监测系统对麻醉深度进行调整,对比两组患者麻醉诱导前、建立气腹后以及手术结束时心率水平。对比两组患者麻醉复苏时间以及气管拔管时间。另外,对比两组患者麻醉药物使用剂量。结果麻醉诱导前,两组患者心率水平比较差异无统计学意义(P<0.05);建立气腹后,研究组心率水平要低于对照组(P<0.05);手术结束时,研究组心率水平要低于对照组(P<0.05)。研究组麻醉复苏时间以及气管拔管时间均要短于对照组(P<0.05)。研究组丙泊酚使用剂量要低于对照组(P<0.05);两组患者瑞芬太尼使用剂量比较差异无统计学意义(P<0.05)。结论在腹腔镜胆囊切除手术期间中通过利用Narcotrend监测系统有利于稳定患者心率,耗费麻醉药物更少,麻醉复苏时间以及气管拔管更短。
Objective To explore the application value of Narcotrend monitoring system in laparoscopic cholecystectomy.Methods 90 patients with laparoscopic cholecystectomy in our hospital from April 2017 to April 2020 were randomly divided into study group (n=45) and control group (n=45).In the control group,anesthesiologists combined with clinical experience adjusted the depth of anesthesia,and the study group adjusted the depth of anesthesia with the help of Narcotrend monitoring system.The heart rate levels before anesthesia induction,after establishing pneumoperitoneum and at the end of operation were compared between the two groups.Anesthesia recovery time and tracheal extubation time were compared between the two groups.In addition,the dosage of narcotic drugs was compared between the two groups.Results Before anesthesia induction,there was no significant difference in heart rate between the two groups (P<0.05).After the establishment of pneumoperitoneum,the heart rate of the study group was lower than that of the control group (P<0.05).At the end of the operation,the heart rate of the study group was lower than that of the control group (P<0.05).The anesthesia recovery time and tracheal extubation time in the study group were shorter than those in the control group (P<0.05).The dosage of propofol in the study group was lower than that in the control group (P<0.05).There was no significant difference in the dosage of remifentanil between the two groups (P<0.05).Conclusion During laparoscopic cholecystectomy,the use of Narcotrend monitoring system is beneficial to stabilize the patient’s heart rate,consume less anesthetic drugs,anesthesia recovery time and tracheal extubation shorter.
作者
李伯兴
LI Bo-xing(Department of Anesthesiology,Liaobu Hospital,Dongguan,Guangdong 523400)
出处
《智慧健康》
2021年第16期97-99,共3页
Smart Healthcare
