|
|
|
| Application effect of narcotrend anesthesia depth monitoring feedback adjusting Propofol by closed-loop target-controlled infusion in gynecologic laparoscopic surgery |
| LIN Li-tian HUANG Fang PENG Hui-hua |
| Department of Anesthesiology,Panyu Central Hospital in Guangzhou City,Guangdong Province,Guangzhou 511400,China |
|
|
|
|
Abstract Objective To investigate the application effect of narcotrend anesthesia depth monitoring feedback adjusting Propofol by closed-loop target-controlled infusion in gynecologic laparoscopic surgery.Methods One hundred and twenty patients undergoing gynecologic laparoscopic surgery from October 2016 to December 2017 in our hospital were selected as objects and divided into observation group and control group according to the different monitoring methods,with 60 cases in each group.In the observation group,anesthetic drug was provided under the narcotrend anesthesia depth monitor,while in the control group,drug was provided based on the anaesthetist′s experience.The doses of drugs,awakening time and adverse reactions between the two groups were compared.Results The doses of Propofol,Vecuronium,and Remifentanil in the observation group were less than those in the control group,and the differences were statistically significant(P＜0.05).The spontaneous breathing recovery time,blinking time,extubation time and orientation recovery time in the observation group were significantly shorter than those in the control group,and the differences were statistically significant(P＜0.05).The incidence of adverse reactions such as body writhing,dizziness,nausea and vomiting in the observation group was lower than those in the control group,and the differences were statistically significant(P＜0.05).Conclusion The narcotrend anesthesia depth monitoring feedback adjusting Propofol by closed-loop target-controlled infusion in gynecological laparoscopic surgery can maintain the appropriate depth of anesthesia,and also can reduce the dose of anesthetic drugs with high safety,which is worthy of clinical promotion.
|
|
|
|
|
|
| [1] |
Orliaguet GA，Benabbes LF，Chazot T，et al.Feasibility of closed-loop titration of propofol and remifentanil guided by the bispectral monitor in pediatric and adolescent patients：a prospective randomized study[J].Anesthesiology，2015，122（4）：759-767.
|
| [2] |
Le GM，Liu N，Tounou F，et al.Dexmedetomidine reduces propofol and remifentanil requirements during bispectral index-guided closed-loop anesthesia：a double-blind，placebo-controlled trial[J].Anesth Analg，2014，118（5）：946-955.
|
| [3] |
全剑锋.NI和BIS监测在丙泊酚复合瑞芬太尼靶控输注麻醉中的应用[J].河南医学研究，2014，23（3）：84-85.
|
| [4] |
何洹，张春梅，施冲.靶控输注异丙酚复合瑞芬太尼麻醉时NI与BIS监测镇静深度的比较[J].中华麻醉学杂志，2010，30（3）：282-284.
|
| [5] |
洪文学，张仲鹏，宋佳霖，等.麻醉深度监测方法及仪器研究的现状与展望[J].中国生物医学工程学报，2011，30（5）：781-786.
|
| [6] |
崔惠素，丁军，郁洪强.麻醉深度监测研究的现状与进展[J].国际生物医学工程杂志，2012，35（3）：189-192.
|
| [7] |
邱远东.静脉全麻中基于脑电的麻醉深度监测现状[J].世界最新医学信息文摘（电子版），2016，16（86）：68-69.
|
| [8] |
黄国勇，梁宁，黄中华，等.麻醉深度指数在妇科腹腔镜手术快通道麻醉中的应用[J].微创医学，2011，6（6）：506-509.
|
| [9] |
徐鹏，沈杰，张富军.麻醉深度监测对手术患者临床预后的影响[J].上海医学，2014，37（10）：890-892.
|
| [10] |
邱红雨，李晶莹.麻醉深度指数用于全麻手术期间麻醉深度监测的临床评价[J].中国医药指南，2014，12（4）：32-33.
|
| [11] |
邓佳，蒋璐.Narcotrend麻醉深度监测在全麻中的应用[J].四川医学，2016，37（2）：167-170.
|
| [12] |
梁斌，郑恒兴，谢小伟.Narcotrend麻醉深度监测仪在全凭静脉麻醉中的应用[J].中国自然医学杂志，2010，12（4）：245-248.
|
| [13] |
陈斌，苗民，韩继修，等.麻醉深度监测在老年胸科手术患者麻醉中的应用[J].江苏医药，2017，43（24）：1784-1786.
|
| [14] |
詹银周.丙泊酚、瑞芬太尼静脉麻醉深度指标与闭环靶控输注的实现[J].中国药物与临床，2011，11（4）：429-432.
|
| [15] |
王煜，薛荣亮，吕建瑞，等.闭环靶控静脉输注下不同麻醉镇静深度对择期腹部手术患者围术期炎性反应的影响[J].国际麻醉学与复苏杂志，2015，36（3）：213-217.
|
| [16] |
许楠.应用Narcotrend监测仪调整全静脉麻醉深度的病例分析与文献综述[D].北京：北京协和医学院，2011.
|
| [17] |
徐忠厚，郑立东，李家宽.Narcotrend用于全麻手术期间麻醉深度监测的临床评价[J].蚌埠医学院学报，2014，39（10）：1336-1339.
|
|
|
|
