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Narcotrend麻醉深度监测在无痛人工流产手术中的应用 被引量:3

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摘要 目的探讨Narcotrend麻醉深度指数(NI)指导无痛人流中丙泊酚用药的可行性。方法 60例人流患者,分为对照组(C组)、NI目标控制组(NI组)。两组均用微量泵注药,注药速度均控制在2.0 mg/(kg.min),两组患者均接受NI麻醉深度监测。对照组泵注丙泊酚2.5 mg/kg;NI组泵注丙泊酚使患者即时NI值降至D2(NI值46~37),根据NI是否在目标控制范围适当追加用药。两组患者术中有体动(肢体不自主扭动)时追加丙泊酚至体动消失,每次追加量<1 mg/kg。记录各组患者注药前、意识消失、体动、术毕、睁眼、清醒时各时点的生命体征及NI值;记录各组患者诱导时间、苏醒时间、丙泊酚用量和给药次数、麻醉并发症情况。结果丙泊酚总量、诱导时间及给药次数两组之间差异均无显著性,而应答时间NI组明显短于C组(P<0.05)。两组间Narcotrend变化趋势相同。术毕NI组NI值高于C组(P<0.05),其他时点的NI值差异均无显著性。NI组体动发生率少于C组,差异有显著性(P<0.05)。结论 NI指导麻醉诱导迅速而平稳,术后恢复快而完全,Narcotrend麻醉深度监测对指导无痛人流中的丙泊酚用药和麻醉深度精确调控有很好的指导意义。
出处 《广东医学》 CAS CSCD 北大核心 2011年第16期2126-2128,共3页 Guangdong Medical Journal
基金 广东省人口和计划生育委员会科研项目(编号:2009303)
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参考文献10

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