Narcotrend监测指导对腹腔镜手术全身麻醉术中知晓、术后苏醒及并发症的影响

Narcotrend Monitoring and Guidance for Narcotrend Awareness,Recovery and Complications in Laparoscopic General Anesthesia

目的 探究Narcotrend监测指导对腹腔镜手术全身麻醉术中知晓、术后苏醒及并发症的临床影响。方法随机选取2018年6月—2020年6月在东莞市寮步医院行腹腔镜手术全身麻醉的60例患者为研究对象,随机分为两组,每组30例。常规组由麻醉医生的临床经验指导麻醉用药管理,研究组由Narcotrend监测指导麻醉用药管理。比较两组术中知晓发生率、术后苏醒时间和拔管时间、并发症发生率。结果 研究组的术中知晓发生率为3.33%,明显低于常规组的16.67%,差异有统计学意义(χ^(2)=7.254,P<0.05)。研究组的术后苏醒时间(6.38±1.17)min、拔管时间(12.59±2.95)min均短于常规组,差异有统计学意义(t=11.301、9.708,P<0.05)。研究组的并发症发生率为6.67%,显著低于常规组的23.33%,差异有统计学意义(χ^(2)=5.052,P<0.05)。结论 腹腔镜手术全身麻醉患者进行Narcotrend监测指导麻醉管理,能减少术中知晓发生率和并发症发生率,缩短患者的苏醒时间与拔管时间。

Objective To investigate the clinical influence of Narcotrend monitoring and guidance on awareness,recovery and complications in laparoscopic general anesthesia.Methods A total of 60 patients who underwent general anesthesia during laparoscopic surgery in Dongguan Liaobu Hospital from June 2018 to June 2020 were randomly selected as the study objects and randomly divided into two groups with 30 patients in each group.The conventional group underwent the anesthetic medication management guided by the clinical experience of the anesthesiologist,while the study group underwent the anesthetic medication management monitored and guided by the Narcotrend.The incidence of intraoperative awareness,postoperative recovery time,extubation time and complication rate were compared between the two groups.Results The incidence of intraoperative knowledge in the study group was 3.33%,which was significantly lower than that in the conventional group(16.67%),the difference was statistically significant(χ^(2)=7.254,P<0.05).The postoperative recovery time(6.38±1.17) min and extubation time(12.59±2.95) min in the study group were both shorter than those in the conventional group,and the difference was statistically significant(t=11.301,9.708,P<0.05).The complication rate of the study group was 6.67%,which was significantly lower than that of the conventional group(23.33%),and the difference was statistically significant(χ^(2)=5.052,P<0.05).Conclusion Narcotrend monitoring and narcomanagement of patients under laparoscopic general anesthesia could reduce the incidence of intraoperative awareness and complications,and shorten the time of recovery and extubation of the patients.