Narcotrend监测用于继发性甲状旁腺功能亢进患者进行甲状旁腺全切除+自体前臂移植术的临床研究

Clinical study of Narcotrend monitoring in patients with secondary hyperparathyroidism undergoing total parathyroidectomy plus autologous forearm transplantation

目的分析Narcotrend监测用于继发性甲状旁腺功能亢进患者进行甲状旁腺全切除联合自体前臂移植术的临床效果。方法选取2018年1月至2019年10月本院收治的50例接受甲状旁腺切除联合自体前臂移植术治疗的继发性甲状旁腺功能亢进患者,随机分为对照组与实验组,每组25例。对照组按照血流动力学和经验开展麻醉诱导和维持,实验组根据标准方法连接Narcotrend检测仪,开展常规检测。比较两组患者术中术中瑞芬太尼和丙泊酚麻醉药物用量、苏醒与住院情况以及术后并发症发生情况。结果与对照组比较,实验组术中瑞芬太尼以及丙泊酚用量、住院费用、术后并发症发生率均明显减少(P<0.05),苏醒时间、恢复室驻留时间、住院时间均明显缩短(P<0.05)。结论Narcotrend监测甲状旁腺全切除联合自体前臂移植术能减少术中麻醉药用量,缩短苏醒时间、恢复室驻留时间和住院时间,并降低术后并发症风险,减轻患者经济负担,具有临床推广价值。

Objective To analyze the clinical effect of Narcotrend monitoring in patients with secondary hyperparathyroidism undergoing total parathyroidectomy combined with autologous forearm transplantation.Methods 50 patients with secondary hyperparathyroidism who underwent parathyroidectomy combined with autologous forearm transplantation in our hospital from January 2018 to October 2019 were selected,they were randomly divided into control group and experimental group,with 25 cases in each group.The control group was induced and maintained anesthesia according to hemodynamics and experience,the experimental group was connected to Narcotrend according to standard method.The dosage of remifentanil and propofol,recovery and hospitalization,and postoperative complications were compared between the two groups.Results Compared with the control group,the dosage of remifentanil and propofol,hospitalization expenses and postoperative complications were significantly reduced in the experimental group(P<0.05),the recovery time,the residence time in recovery room and the hospitalization time of the experimental group were significantly shortened(P<0.05).Conclusion Narcotrend monitoring of total parathyroidectomy combined with autologous forearm transplantation can reduce the amount of anesthetics used during operation,shorten the recovery time,recovery room stay time and hospitalization time,reduce the risk of postoperative complications,reduce the economic burden of patients,and has clinical popularization value.