CAJ | 학술논문

目的：探讨Narcotrend监测在无痛胃镜麻醉中的应用价值。方法：60例需行无痛胃镜病人随机等分为Narcotrend监测组(I组)与常规监测组(II组),每组30例,监测组病人监测Narcotrend分级(NT)及指数(NI),常规监测组应用临床体征进行监测。静脉给予芬太尼1μg/kg、丙泊酚2mg/kg后,Ⅰ组丙泊酚泵注维持量的NINTI维持在56～65调节、II组根据常规监测和临床体征调节.观察两组丙泊酚用量、术中反应、生命体征及苏醒时间等参数。结果：两组麻醉前MAP、HR比较差异均无统计学意义(P>0.05)。Ⅰ组丙泊酚用量明显少于Ⅱ组(P<0.05),苏醒时间Ⅰ组显著短于Ⅱ组(P<0.05)。结论：在Narcotrend 指导下,可以显著降低无痛胃镜丙泊酚用量,并缩短苏醒时间,术中知晓发生率低。
목적：탐토Narcotrend감측재무통위경마취중적응용개치。방법：60례수행무통위경병인수궤등분위Narcotrend감측조(I조)여상규감측조(II조),매조30례,감측조병인감측Narcotrend분급(NT)급지수(NI),상규감측조응용림상체정진행감측。정맥급여분태니1μg/kg、병박분2mg/kg후,Ⅰ조병박분빙주유지량적NINTI유지재56～65조절、II조근거상규감측화림상체정조절.관찰량조병박분용량、술중반응、생명체정급소성시간등삼수。결과：량조마취전MAP、HR비교차이균무통계학의의(P>0.05)。Ⅰ조병박분용량명현소우Ⅱ조(P<0.05),소성시간Ⅰ조현저단우Ⅱ조(P<0.05)。결론：재Narcotrend 지도하,가이현저강저무통위경병박분용량,병축단소성시간,술중지효발생솔저。
Objective:To investigate the cilinical usage for Narcortrend monitoring in painless Gastroscopy. Methods: Sixty ASA I-II patients undergoing painless gastroscopy were randomized into Narcortrend group and clinical practice group with 30 patients in each group.The two groups received propofol-fentanil anesthesia monitored by NT index or solely by clinical parameters. Anesthesia was induced with the propofol 2mg/mg and fentanyl 1μg/kg, in the Narcortrend monitoring group, anesthesia was adjusted to achieve a Narcortrend level of NTNI 56-65,which was recommended moderate to deep anesthesia for painless gastroscopy by department of anaesthesiology of Tumor hospital of tianjing medical university.Those in the clinical practice group adjusted anesthesia in-depth according to heart rate,mean arterlal pressure,and patient movement.Changes of hemodynamics and the durations of emergence and orientation recovery were recorded. The dose of propofol,postoperative nausea and vomiting were also recorded.Results:There were no significant changes of heart rate or mean arterial pressure between two groups. Compared with other stages in two groups,both heart rate and mean arterial pressure were decreased during anethesia induction(P<0.05 ). The doses of propofol were larger in the clinical practice group, P<0.05].Conclusion:Narcotrend-assisted anesthesia in-depth monitor in the painless Gastroscopy can contribute to reucing the dose of propofol and shorting the duration of recovery,also reducing the incidence of intraoperative Awareness.