Narcotrend指导下丙泊酚靶控输注在气管拔管中的临床应用效果  

Clinical Application Effect of Target Controlled Infusion of Propofol in Tracheal Extubation under the Guidance of Narcotrend

作　　者：刘凤妍 修雪莉 董师武 温福腾 Liu Fengyan;Xiu Xueli;Dong Shiwu;Wen Futeng(Department of Anesthesiology,Heshan People's Hospital,Heshan 529700,Guangdong Province,China)

机构地区：[1]鹤山市人民医院麻醉科,广东鹤山529700

出　　处：《中外医药研究》2023年第8期54-56,59,共4页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

基　　金：2021年度江门市卫生健康局新技术新项目推广应用项目(编号:21A157)。

摘　　要：目的:分析Narcotrend(NT)指导下丙泊酚靶控输注在气管拔管中的临床应用价值。方法:选取2021年4月—2022年12月鹤山市人民医院收治的择期气管插管全身麻醉行腹腔镜疝手术患者60例为观察对象,根据随机数字表法分为NT监测拔管组(NT组)和常规监测拔管组(C组),各30例。比较两组患者临床指标、疼痛及呛咳反应评分、自主呼吸恢复时间及麻醉后恢复室(PACU)驻留时间、并发症及拔管记忆发生情况。结果:NT组吸痰时、拔管时HR低于C组,吸痰时、拔管时HR高于入手术室时,差异有统计学意义(P<0.05);NT组吸痰时MAP低于C组,拔管时MAP高于C组,C组拔管时MAP低于入手术室时,差异有统计学意义(P<0.05);NT组吸痰时、拔管时、拔管后5 min时RPP低于C组,C组吸痰时、拔管时RPP高于入手术室时,差异有统计学意义(P<0.05);吸痰及拔管时,NT组呛咳反应评分高于C组,差异有统计学意义(P=0.015)。NT组并发症及拔管记忆发生率低于C组,差异有统计学意义(P<0.05)。结论:NT指导下丙泊酚靶控输注在气管拔管可提高麻醉安全性,降低相关并发症及拔管记忆发生率,具有良好应用价值。Objective:To analyze the clinical application value of target controlled infusion of propofol under the guidance of Narcotrend(NT)in tracheal extubation.Methods:Sixty patients undergoing laparoscopic hernia surgery under elective tracheal intubation general anesthesia admitted to Heshan People's Hospital from April 2021 to December 2022 were selected as the observation objects,and were divided into NT monitoring extubation group(NT group)and routine monitoring extubation group(C group)according to random number table method,with thirty cases in each group.The clinical indexes,pain and cough response scores,spontaneous breathing recovery time,post-anesthesia recovery room(PACU)residence time,complications and extubation memory were compared between the two groups.Results:HR during sputum aspiration and extubation in NT group was lower than that in C group,and HR during sputum aspiration and extubation was higher than that in operating room,the difference was statistically significant(P<0.05);The MAP of NT group during sputum aspiration was lower than that of C group,the MAP of NT group during extubation was higher than that of C group,and the MAP of C group during extubation was lower than that of operating room,the difference was statistically significant(P<0.05);The RPP during sputum aspiration,extubation and 5 minutes after extubation in NT group was lower than that in C group,and the RPP during sputum aspiration and extubation in C group was higher than that in operating room,the difference was statistically significant(P<0.05);During sputum aspiration and extubation,the cough response score of NT group was higher than that of C group,and the difference was statistically significant(P=0.015);The incidence of complications and extubation memory in NT group was lower than that in C group,and the difference was statistically significant(P<0.05).Conclusion:Target controlled infusion of propofol under the guidance of NT in tracheal extubation can improve the safety of anesthesia,reduce the incidence of related comp

关 键 词：Narcotrend指导 丙泊酚 靶控输注 气管拔管 呛咳反应 

分 类 号：R61[医药卫生—外科学]