本文選題：麻醉深度監(jiān)測 + 老年��； 參考：《中國現(xiàn)代普通外科進展》2016年10期

【摘要】：探討麻醉深度監(jiān)測在老年患者普外科手術(shù)中的應(yīng)用價值。選取我院符合標準的住院患者共70名,隨機分為試驗組和對照組,每組35例。試驗組術(shù)中采用Narcotrend麻醉深度監(jiān)測儀進行監(jiān)測,對照組僅行生命體征檢測。記錄兩組患者術(shù)中8個規(guī)定時間點的心率(HR)、平均動脈壓(MAP),術(shù)中丙泊酚、瑞芬太尼及去甲腎上腺素的用量及手術(shù)時長、麻醉恢復(fù)時間等指標。兩組各時間點MAP、HR及手術(shù)時長比較差異無統(tǒng)計學(xué)意義(P0.05),術(shù)中血流動力學(xué)均平穩(wěn)。與對照組比較,試驗組麻醉恢復(fù)時間、PACU觀察時間明顯縮短(t=6.79,P0.01;t=12.10,P0.01);試驗組丙泊酚、瑞芬太尼及去甲腎上腺素均明顯減少(t=6.71,P0.01;t=5.53,P0.01;t=16.47,P0.01)。對于老年患者,應(yīng)用麻醉深度監(jiān)測可以明顯減少麻醉藥物用量,縮短患者蘇醒時間及PACU觀察時間,利于老年患者麻醉后管理。
[Abstract]:To explore the application value of depth monitoring of anesthesia in general surgery of elderly patients. A total of 70 inpatients in our hospital were randomly divided into trial group and control group with 35 cases in each group. Narcotrend anaesthesia depth monitor was used in the trial group, while the vital signs were only detected in the control group. Heart rate (HR), mean arterial pressure (map), propofol, remifentanil and norepinephrine were recorded in the two groups. There was no significant difference in MAPHR and the length of operation between the two groups (P0.05). The hemodynamics of the two groups was stable. Compared with the control group, the observation time of PACU in the trial group was significantly shorter than that in the control group (t = 6.79 / P 0.01 / 12. 10 / P0.01), and the levels of propofol, remifentanil and norepinephrine were significantly decreased (t = 6.71 / P ~ (0.01) P ~ (0.01) / t ~ (5.53) P ~ (0.01) / t ~ (16.47) / (P ~ (0.01). For the elderly patients, the application of depth monitoring of anesthesia can significantly reduce the amount of narcotic drugs, shorten the time of recovery and PACU observation, which is beneficial to the management of the elderly patients after anesthesia.
【作者單位】： 北京石景山醫(yī)院麻醉科;
【分類號】：R614
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本文編號：2109901