麻醉深度监测中Narcotrend脑电意识监测价值.docVIP

麻醉深度监测中Narcotrend脑电意识监测价值 　　摘 要 目的：研究麻醉深度监测中Narcotrend脑电意识监测的价值。方法：选取2016年9月―2017年1月收治的非?_颅手术行全身麻醉患者80例，随机分为对照组与观察组各40例。对照组实施常规监测，观察组实施Narcotrend脑电意识监测。观察两组术中知晓情况、拔气管导管时间以及麻醉药物加减次数等。结果：观察组术中知晓发生率为0.0%，对照组为5.0%（2/40）；观察组麻醉药物加减次数为4次（10.0%），而对照组为11次（27.5%）；观察组气管导管的拔出时间为（20.16±2.14）min，明显短于对照组的（32.98±3.42）min，组间差异均有统计学意义（P0.05）。结论：采用Narcotrend脑电意识监测系统能有效监测麻醉深度，且具有即时、简单、准确、客观等优点，值得临床推广应用。 　　关键词 麻醉；脑电意识监测；价值；分析 　　中图分类号：R614 文献标志码：A 文章编号：1006-1533（2017）18-0032-02 　　The value of Narcotrend EEG monitoring in anesthesia depth monitoring 　　XU Wengang， LIU Ying（Department of Anesthesiology of Central Hospital， Xinyu Iron and Steel Group Co， Ltd. Xinyu 338000 Jiangxi Province， China） 　　ABSTRACT Objective： To study the value of Narcotrend EEG monitoring in anesthesia depth monitoring. Methods： From September 2016 to January 2017， 80 non craniotomy patients undergoing general anesthesia in the hospital were selected and randomly divided into a control group and an observation group with 40 cases each. The control group received routine monitoring， and the observation group received Narcotrend EEG monitoring. The intraoperative awareness， tracheal tube time and times of anesthetic addition and subtraction were observed. Results： The incidence of intraoperative awareness was 0% in the observation group and 5% in the control group （2/40）， the extraction time of tracheal catheter in the observation group was（20.16±2.14） min， which was significantly shorter than that of the control group （32.98±3.42） min， and the difference between the two groups was statistically significant（P0.05）. Conclusion： The Narcotrend EEG monitoring system can effectively monitor the depth of anesthesia， which has the advantages of immediacy， simplicity， accuracy and objectivity， and it is worthy of clinical application. 　　KEY WORDS anesthesia； EEG awareness monitoring； value； analysis 　　在临床麻醉管理过程中，判断麻醉深度是最具有挑战性的工作，也最可能出现医疗纠纷[ 1 ]。目前，对麻醉深度定义分歧相对较多，导致判断麻醉深度过程中容易出现问题，另外，由于定义麻醉深度的异质性和多元性，使监测过程面临一定的难度[ 2