Narcotrend脑电意识监测在老年患者全身麻醉中应用效果.docVIP

Narcotrend脑电意识监测在老年患者全身麻醉中应用效果 　　[摘要]目的 研究Narcotrend监测在老年患者全身麻醉中应用的临床效果。方法 选取我院2014年1月～2016年12月收治的120例全身麻醉老年患者作为研究对象，采用随机数字表法分为N组和C组，各60例。N组术中丙泊酚TCI浓度依据Narcotrend进行调控，C组丙泊酚TCI浓度依据患者的血压、心率等生命体征进行调控。比较两组的麻醉时间、手术时间、苏醒时间、拔管时间、麻醉后PACU驻留时间、药物用量、不良反应发生率。结果 N组的苏醒时间、拔管时间以及麻醉后PACU停留时间显著短于C组，差异有统计学意义（P0.05）。结论 在老年患者全身麻醉中实施Narcotrend监测，可减少麻醉用药，促进术后意识恢复。 　　[关键词]Narcotrend；全身麻醉；丙泊酚；靶控输注 　　[中图分类号] R614.2 [文献标识码] A [文章编号] 1674-4721（2017）05（a）-0133-04 　　Application ffect of Narcotrend EEG monitoring in general anesthesia for elderly patients 　　ZHANG Wei-jun ZHANG Jun-ming HU Xiao-fu 　　Department of Anesthesiology，People′s Hospital of Wengyuan County of Shaoguan City in Guangdong Province，Wengyuan 512600，China 　　[Abstract]Objective To investigate the clinical efficacy of Narcotrend monitoring in elderly patients under general anesthesia.Methods From January 2014 to December 2016，120 old patients who received general anesthesia in our hospital were selected and divided into group N （n=60） and group C （n=60） by taking random number table method.The propofol TCI concentration was regulated and controlled according to Narcotrend regulation of N group，the propofol TCI concentration was regulated and controlled according to the patient′s BP，HR and other vital signs of group C.The anesthesia time，operation time，recovery time，extubation time，PACU stay time after anesthesia，drug dosage and the incidence rate of adverse reaction were compared between the two groups.Results The recovery time，extubation time and PACU stay time after anesthesia in group N was significantly shorter than that in group C，with significant difference （P0.05）.Conclusion The implementation of Narcotrend monitoring in the elderly patients with general anesthesia can reduce the use of anesthesia，promote postoperative recovery of consciousness. 　　[Key words]Narcotrend；General anesthesia；Propofol；Target-controlled infusion 　　?夤懿骞苋?身麻醉是临床外科手术中常用的麻醉方法，被应用于老年患者的外科手术中，但在手术后，老年患者容易出现意识恢复延迟、认知功能障碍等不良情况，对其预后较为不利，故还应对老年患者