CAJ | 학술논문

目的：对Narcotrend监测下七氟醚用于老年患者全麻诱导的临床效果进行研究。方法将我院80例ASAI-III级于全麻下进行手术的老年患者分为实验组和对照组，实验组40例，实验组采用Narcotrend监测七氟醚的吸入量，对照组全凭患者吸入。对比两组的麻醉诱导时间、持续时间、苏醒时间，以及麻醉结束后的呼气未稳态、脑电电测指数以及七氟醚用量。结果实验组患者的麻醉诱导时间为（0.79±0.11）min苏醒时间为（31.4±7.90）min，对照组分别为（0.88±0.12）min与（30.8±9.4）min，实验组对照组患者有明显缩短，呼气未稳状态明显低于对照组，脑电监测指数明显高于对照组，七氟醚用量明显少于对照组， P<0.05，差异具有统计学意义。结论 Narcotrend应用于老年患者全麻诱导过程中能够准确控制七氟醚吸入量，有效减少七氟醚用量，以免出现过度麻醉现象。
목적：대Narcotrend감측하칠불미용우노년환자전마유도적림상효과진행연구。방법장아원80례ASAI-III급우전마하진행수술적노년환자분위실험조화대조조，실험조40례，실험조채용Narcotrend감측칠불미적흡입량，대조조전빙환자흡입。대비량조적마취유도시간、지속시간、소성시간，이급마취결속후적호기미은태、뇌전전측지수이급칠불미용량。결과실험조환자적마취유도시간위（0.79±0.11）min소성시간위（31.4±7.90）min，대조조분별위（0.88±0.12）min여（30.8±9.4）min，실험조대조조환자유명현축단，호기미은상태명현저우대조조，뇌전감측지수명현고우대조조，칠불미용량명현소우대조조， P<0.05，차이구유통계학의의。결론 Narcotrend응용우노년환자전마유도과정중능구준학공제칠불미흡입량，유효감소칠불미용량，이면출현과도마취현상。
Objective To analyze the clinical anesthesia effect of sevoflurane in elderly patient by the monitoring of Nacotrend. Methods Randomly divide 80 ASAI-III elderly patient which were carried out surgery in general anesthesia into experimental group and control group. The sevoflurane quality of 40 patients in experimental group were monitored by Nacotrend, and the quali-ty of sevoflurane of 40 patients is not monitored. Contrast the anesthesia induction period, lasting period, awakening time, the sevoflurane quality, the Bispectral Index, etc of the two groups. Results The nesthesia induction period and awakening time of ex-perimental group is much shorter than that of control group, the Bispectral Index of experimental group is higher, and the sevoflu-rane quality of experimental group is less than that of control group. P<0.05, The difference is statistically significant. Conclusion Narcotrend monitoring the general anesthesia inducing progress of elderly patient can control the intaking sevoflurane quality ex-actly, and avoid the overanesthesia.