当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2014年
13期
6-7,8
,共3页
Narcotrend%肠镜%丙泊酚%舒芬太尼
Narcotrend%腸鏡%丙泊酚%舒芬太尼
Narcotrend%장경%병박분%서분태니
Narcotrend%Colonscopy%Propofol%Sulfentanil
目的：观察 Narcotrend监测在丙泊酚复合舒芬太尼用于无痛肠镜检查的应用效果。方法将60例行肠镜检查的患者随机均分为2组：Narcotrend组和对照组（n=30）。2组患者均接受异丙酚复合舒芬太尼全凭静脉麻醉。对照组患者根据心率、血压及患者体动调节麻醉深度。Narcotrend组患者术中根据Narcotrend值（NI）调节麻醉深度，将NI维持在D 2～E 0。分别记录2组患者的血流动力学、清醒时间、定向力恢复时间、丙泊酚及术后患者的恶心呕吐发生率。结果2组患者相对应时段的血流动力学变化差异无统计学意义；Narcotrend组患者丙泊酚用量（186±13）mg比对照组（255±18）mg减少， Narcotrend组苏醒时间（4.2±0.5）min和定向力恢复时间（4.9±2.0）min较对照组[（8.5±0.6）min、（9.8±2.6）min]缩短，差异有统计学意义（P<0.05）；2组患者恶心呕吐发生率差异无统计学意义。结论 Narcotrend麻醉深度监测在无痛肠镜检查丙泊酚复合芬太尼全凭静脉麻醉中应用，可以减少丙泊酚用量，缩短患者恢复和清醒的时间。
目的：觀察 Narcotrend鑑測在丙泊酚複閤舒芬太尼用于無痛腸鏡檢查的應用效果。方法將60例行腸鏡檢查的患者隨機均分為2組：Narcotrend組和對照組（n=30）。2組患者均接受異丙酚複閤舒芬太尼全憑靜脈痳醉。對照組患者根據心率、血壓及患者體動調節痳醉深度。Narcotrend組患者術中根據Narcotrend值（NI）調節痳醉深度，將NI維持在D 2～E 0。分彆記錄2組患者的血流動力學、清醒時間、定嚮力恢複時間、丙泊酚及術後患者的噁心嘔吐髮生率。結果2組患者相對應時段的血流動力學變化差異無統計學意義；Narcotrend組患者丙泊酚用量（186±13）mg比對照組（255±18）mg減少， Narcotrend組囌醒時間（4.2±0.5）min和定嚮力恢複時間（4.9±2.0）min較對照組[（8.5±0.6）min、（9.8±2.6）min]縮短，差異有統計學意義（P<0.05）；2組患者噁心嘔吐髮生率差異無統計學意義。結論 Narcotrend痳醉深度鑑測在無痛腸鏡檢查丙泊酚複閤芬太尼全憑靜脈痳醉中應用，可以減少丙泊酚用量，縮短患者恢複和清醒的時間。
목적：관찰 Narcotrend감측재병박분복합서분태니용우무통장경검사적응용효과。방법장60례행장경검사적환자수궤균분위2조：Narcotrend조화대조조（n=30）。2조환자균접수이병분복합서분태니전빙정맥마취。대조조환자근거심솔、혈압급환자체동조절마취심도。Narcotrend조환자술중근거Narcotrend치（NI）조절마취심도，장NI유지재D 2～E 0。분별기록2조환자적혈류동역학、청성시간、정향력회복시간、병박분급술후환자적악심구토발생솔。결과2조환자상대응시단적혈류동역학변화차이무통계학의의；Narcotrend조환자병박분용량（186±13）mg비대조조（255±18）mg감소， Narcotrend조소성시간（4.2±0.5）min화정향력회복시간（4.9±2.0）min교대조조[（8.5±0.6）min、（9.8±2.6）min]축단，차이유통계학의의（P<0.05）；2조환자악심구토발생솔차이무통계학의의。결론 Narcotrend마취심도감측재무통장경검사병박분복합분태니전빙정맥마취중응용，가이감소병박분용량，축단환자회복화청성적시간。
Objective To monitor the depth of anesthesia in painless colonoscopy by using Narcotrend during total intravenous anesthesia with propofol and sulfentanyl. Methods 60 patients ASAⅠ-Ⅱ, requiring colonoscopy were randomLy divided into narcotrend group and control group, 30 patients in each group. All patients received total intravenous anesthesia with propofol and sulfentanyl. Those in the control group adjusted anesthesia in-depth according to heart rate, mean arterial pressure, and patient movement. The patients in the narcotrend group were adjusted anesthesia in-depth according to narcotrend and Narcotrend index was maintained between D 2 and E 0. Changes of hemodynamics and the durations of emergence and orientation recovery were recorded. The doses of propofol and the incidence of postoperative nausea and vomiting were also recorded. Results There were no significant changes of heart rate or mean arterial pressure between two groups. The doses of propofol were less in the narcotrend group than in the control group (P<0.05). The durations of emergence and orientation were longer in the clinical group than in the narcotrend group (P<0.05). There were no differences the incidence of postoperative nausea and vomiting between two groups. Conclusion Narcotrend-assisted anesthesia in-depth monitor in colonscopy can contribute to reducing the dose of propofol and shortening the duration of recovery during total intravenous anesthesia with propofol and sulfentanil.
