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黄梅.Narcotrend脑电意识深度监测在小儿日间手术全身麻醉中的应用[J].中国医药科学,2020,(1):219-221        基金项目:广东省茂名市科技计划项目(180326151700646)
Narcotrend脑电意识深度监测在小儿日间手术全身麻醉中的应用
Application of Narcotrend EEG awareness depth monitoring in children undergoing general anesthesia during daytime operation
  
DOI:
中文关键词:  小儿;日间手术;全身麻醉;Narcotrend;脑电意识;自主呼吸恢复时间
英文关键词:Children; Daytime operation; General anesthesia; Narcotrend; EEG awareness; Recovery time of autonomic respiration
作者单位
黄梅 广东省茂名市妇幼保健院麻醉科,广东茂名 525000 
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中文摘要:
      [摘要] 目的 探讨在小儿日间手术全身麻醉中应用 Narcotrend 脑电意识深度监测的效果,为临床提供指导。 方法 随机将 2018 年 1 ~ 12 月我院 60 例接受日间手术患儿(1 ~ 6 岁)分为观察组(30 例,应用 Narcotrend脑电意识深度监测)、对照组(30 例,应用常规监测)。比较两组患儿的心率、平均动脉压、自主呼吸恢复时间、苏醒时间、拔管时间、手术时间、七氟醚用量、瑞芬太尼用量及不良反应(术中体动、呛咳、恶心呕吐、术后躁动)发生率。 结果 (1)观察组患儿心率、平均动脉压和对照组比较,差异无统计学意义,P > 0.05;(2)观察组患儿的自主呼吸恢复时间、苏醒时间、拔管时间均短于对照组,七氟醚用量少于对照组,P < 0.05,但手术时间、瑞芬太尼用量和对照组比较无统计学差异,P > 0.05;(3)观察组患儿不良反应发生率(10.00%)低于对照组(36.67%),P < 0.05。 结论 在小儿日间手术全身麻醉中应用 Narcotrend 脑电意识深度监测具有较好的效果,不仅可减少七氟醚用量,缩短小儿麻醉自主呼吸恢复时间及苏醒时间,还可减少围术期不良事件发生率。
英文摘要:
      [Abstract] Objective To explore the effect of applying Narcotrend EEG awareness depth monitoring in children undergoing general anesthesia for daytime surgery to provide guidance for clinical practice. Methods 60 children (aged 1 to 6 years) who underwent daytime operations from January to December 2018 were randomly divided into the observation group (30 cases, Narcotrend EEG awareness depth monitoring) and the control group (30 cases, routine monitoring). The heart rate, mean arterial pressure, recovery time of autonomic respiration, recovery time, extubation time, operation time, sevoflurane dosage, remifentanil dosage and incidence of adverse reactions (intraoperative body motion, cough, nausea and vomiting, postoperative restlessness) were compared between the two groups. Results(1) There was no significant difference in heart rate and mean arterial pressure between the observation group and the control group, P > 0.05. (2) The recovery time of autonomic respiration, recovery time, extubation time in the observation group were all shorter than those in the control group and sevoflurane dosage was lower than that of the control group, P < 0.05. There was no significant difference in operation time and remifentanil dosage between the observation group and the control group, P > 0.05. (3) The incidence of adverse reactions in the observation group (10.00%) was lower than that in the control group (36.67%), P < 0.05. Conclusion The application of Narcotrend EEG awareness depth monitoring in children undergoing general anesthesia for daytime has a good effect, which can not only reduce the dosage of sevoflurane, but also shorten the recovery time of autonomic respiration and recovery time. It can also reduce the incidence of perioperative adverse events.
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