应用Narcotrend监测麻醉苏醒期患者意识.docVIP

联系电话 xiaer81@163.com 应用Narcotrend监测麻醉苏醒期意识的研究 彭洪 巫志国 张文婷 江西省萍乡市人民医院麻醉科，337055 【摘要】目的 观察不同麻醉维持方法下Narcotrend(NT)在全麻苏醒期意识监测的准确性。方法 纳入ASAⅠ-Ⅱ级，择期腹腔镜胆囊摘切除术患者60例，术中麻醉维持随机分为组1（丙泊酚-瑞芬太尼组）和组2（七氟醚组），每组各30例。两组均采用NT监测镇静深度并统计术毕患者睁眼时的NT和时间,继而计算受试者工作特征曲线下面积（AUCROC）来判断NT对意识恢复判断的准确性。结果 两组比较，睁眼时NT值差异无统计学意义（P ＞0.05），睁眼时间差异有统计学意义（P ＜0.05）。组1 和组2 的AUCROC分别为0.913和0.920（＞0.9）。结论 无论丙泊酚-瑞芬太尼全凭静脉或七氟醚吸入维持全身麻醉，NT均可准确反映患者意识变化。 【关键词】Narcotrend；全麻苏醒期；意识 Clinical Observation of Narcotrend in Evaluating Consciousness During the Emergence of General Anesthesia Author：WU Zhiguo, ZHANG Wenting, PENG Hong. Department of Anesthesiology, PingXiang People’s Hospital, JiangXi Province 337055, China Corresponding author：PENG Hong (Email: wu.zhiguo@) 【Abstract】 Objective To evaluate the accuracy of Narcotrend (NT) in the monitoring of consciousness for patients recover from TIVA or inhalation general anesthesia. Method 60 cases, ASAⅠ-Ⅱ, undergoing elective laparoscopic cholecystectomy (LC) were enrolled in this study. All patients were randomly divided into two groups (30cases each). Patients in Group1 were undergoing TIVA anesthesia (propofol-remifentail) and in group 2 were inhalation anesthesia (sevoflurane). NT monitoring was connected to record the index number and minutes when the subject recovered consciousness. The area under receiver-operating characteristic curve (AUCROC) was used to estimate the accuracy of NT in relationship to awareness. Results No statistical significance was found between two groups as regard to NT (P ＞0.05). However, minutes of the subject recovered consciousness were statistically significant (P ＜0.05) between the two groups. AUCROC of group1 and 2 were 0.913 and 0.920 respectively（＞0.9）. Conclusion NT was a reliable method to accurately reflect the phases of consciousness either for TIVA (propofol-remifentail) or inhalation anesthesia (sevoflurane) during the emergence of general anesthesia. 【Key words】Narcotrend, Emergence of General Anesthesia, Consciou