不同目标靶控麻醉深度监测对老年患者术后认知功能的影响  

Influence of different anesthesia depth target on post operative cognitive function for ederly patients

作　　者：邓佳[1] 蒋璐[1] 许婷[1] 蔡兵[1] 

机构地区：[1]四川省医学科学院四川省人民医院麻醉科,四川成都610072

出　　处：《甘肃医药》2016年第3期172-175,共4页Gansu Medical Journal

摘　　要：目的:应用Narcotrend麻醉深度监测仪将麻醉深度控制在D级(常规麻醉状态),比较不同亚级(D0、D1、D2)指导下的丙泊酚-瑞芬太尼全凭静脉麻醉,对患者术后认知功能的影响。方法:150例行腹部手术的老年患者随机分为A、B、C三组,术中根据NTI调节丙泊酚和瑞芬太尼输注速度,将麻醉深度分别维持在D级常规麻醉深度的D0、D 1、D2亚级。术后第1天、第7天对患者进行认知功能状态进行评估。结果:三组患者手术期间维持目标麻醉深度时间占手术时间的百分比差别无统计学意义,三组患者POCD的发生率无统计学差异。结论:在老年患者中应用Narcotrend监测处于常规麻醉状态下不同分级目标靶控麻醉深度对患者术后早期认知功能没有明显影响。Objective： To observe the influence of different anesthesia depth target（D0,D1,D2）on post operative cognitive function for ederly patients undergoing propofol-remifentanil anesthesia. Methods： 150 patients undergoing abdominal surgery were randomized to group A or B or C. Propofol and remifentanyl infusion speed was adjusted according to NTI to maintain anesthesia depth at D0 or D1 or D2. Post operative cognitive function was evaluated on patients after 1 and 7 days after surgery. Results：The percent of target anesthesia depth during the operation time was similar in three groups. The incidence of POCD was similar in three groups. Conclusion： There was no influence of different anesthesia depth target on post operative cognitive function under Narcotrend monitor for ederly patients.

关 键 词：老年人 NARCOTREND 麻醉深度 POCD 

分 类 号：R614[医药卫生—麻醉学]