麻醉深度监测及其在腹腔镜手术麻醉中的应用  

Anesthesia Depth Monitoring and Its Application in Laparoscopic Operation

作　　者：彭会丽 

机构地区：[1]平煤神马医疗集团总医院麻醉科,河南平顶山467000

出　　处：《中外医疗》2015年第21期65-66,共2页China & Foreign Medical Treatment

摘　　要：目的分析并探讨麻醉深度检测及其在腹腔镜手术麻醉中的应用效果。方法依据纳入排除标准选取择时行腹腔镜手术患者120例,采取随机数字表法将120例患者分为两组,对照组不进行麻醉深度监测,试验组进行麻醉深度监测,比较两组的麻醉剂用量、苏醒时间、拔管时间和术中知晓。结果试验组麻醉剂用量(300±50)mg、苏醒时间(7±4)min、拔管时间(14±5)min、无术中知晓;对照组麻醉剂用量(420±50)mg、苏醒时间(9±4)min、拔管时间(18±5)min、术中知晓患者2例,差异有统计学意义(P﹤0.05);试验组治疗总有效率为96.7%,对照组治疗总有效率为70.0%,试验组总有效显著高于对照组,差异有统计学意义(P﹤0.05)。结论麻醉深度监测应用于腹腔镜手术麻醉中,可以有效消除患者的疼痛,并使患者感到舒适,值得在临床上推广使用。Objective To investigate the effect of anesthesia depth monitoring in laparoscopic operation. Methods 120 patients who underwent timing laparoscopic operation were selected according to inclusion and exclusion criteria and were divided into two groups by using table of random number. Anesthesia depth monitoring was performed in the experimental group but not in the control group. Anesthetic dosage, recovery time, extubation time, intraoperative awareness was compared between them. Results The anesthetic dosage, recovery time, extubation time, intraoperative awareness of the two groups were（300 ±50） mg,（7±4） min,（14±5）min, none and（420 ±50） mg,（9 ±4） min,（18 ±5） min, 2 cases, respectively, and the differences were statistically significant（P ﹤0.05）; the total effective rate of the experimental group, 96.7%, was obviously higher than that of the control group, 70%, and the difference was statistically significant, P﹤0.05. Conclusion Anesthesia depth monitoring is worthy of wide application in the clinical practice because it can comfort patients by alleviating their pains.

关 键 词：麻醉 腹腔镜手术 麻醉深度监测 

分 类 号：R614[医药卫生—麻醉学]