Abstract：ObjectiveTo investigate the value of Narcotrend monitoring in general anesthesia of pediatric patients.Methods92 children undergoing general anesthesia operation treated in our hospital were selected from March 2016 to March 2017.All children were treated with Propofol-Seven Halothane inhalation combined with general anesthesia.Using random number method method,all children were divided into the observation group and control group,and each group had 46 cases.The concentration of Propofol and Seven Halothane in the observation group were adjusted according to Narcotrend while Propofol and Seven Halothane concentration in the control group were regulated according to the blood pressure,heart rate,and other vital signs and the experience of the anesthesiologist.The recovery time,extubation time,dosage of Propofol and Seven Halothane were compared in pediatric patients between the two groups,and the incidence of adverse reactions such as cough,nausea and vomiting and postoperative agitation in pediatric children were observed.ResultsThe recovery time and extubation time in the observation group were significantly shorter than those in the control group (P＜0.05).The dosage of Propofol and Seven Halothane in the observation group was significantly fewer than those of the control group (P＜0.05).The total incidence of adverse reactions in the observation group was 8.70%,which was significantly lower than that in the control group(28.26%)(P＜0.05).ConclusionNarcotrend anesthesia depth monitoring of anesthesia in pediatric patients has fewer narcotic drugs consumption,recovery time and extubation time are short with fewer adverse reactions,and it is a simple,efficient and practical depth of anesthesia detection method.It is worthy of clinical promotion.
黄梅. Narcotrend监测在小儿患者全身麻醉中的价值分析[J]. 中国当代医药, 2018, 25(3): 57-59.
HUANG Mei. Value analysis of Narcotrend monitoring in general anesthesia of pediatric patients. 中国当代医药, 2018, 25(3): 57-59.
Drummond JC.Monitoring depth of anesthesia on the application of the hispectral index and the middle latency auditory evoked response to the prevenion of recall[J].Anesthesiology，2000，93（2）：876-882.
Yang GH，Wang LX，Lu ZT.Impact of patients′s positions on the narcotrend index during intravenous anaesthesia[J].Med Inno China，2015，13（5）：332-336.
[4]
Dennhardt N，Boethig D，Beck C，et al.Optimization of initial propofol bolus dose for EEG Narcotrend Index-guided transition from sevoflurane induction to intravenous anesthesia in children[J].Paediatric Anaesthesia，2017，27（4）：425-432.
[5]
郭静，杨改生.Narcotrend指导全身麻醉对患者麻醉苏醒时间影响的 Meta 分析[J].中国医药导报，2017，14（1）：61-67.
Guo Z，Pang L，Jia X，et al.Intraoperative target-controlled infusion anesthesia application using remifentanil hydrochloride with etomidate in patients with severe burn as monitored using Narcotrend[J].Burns，2015，41（1）：100-105.
[11]
Solt K，Chemali JJ，Olutola O，et al.Aging delays emergence from general anaesthesia in rats[A]//International Symposium on Memory and Awareness in Anesthesia[C].2015：134-135.
京公网安备 11010502046607号