Narcotrend脑电意识监测在麻醉深度监测中的应用

摘要

Objective To observe the application value of Narcotrend electroencephalogram consciousness monitoring in depth of anesthesia monitoring.Methods A total of 160 non-craniotomy patients with normal psychology, who received general anesthesia, were randomly divided into monitoring group and observation group, with 80 cases in each group. The monitoring group received Narcotrend electroencephalogram consciousness monitoring and routine monitoring, while the observation group received routine monitoring alone. The number of addition and reduction of narcotic drugs, extubation time, and the number of intraoperative awareness were compared between the two groups.Results The number of addition and reduction of narcotic drugs in the monitoring group was 3 times, which was significantly less than 9 times in the observation group, and the difference had statistical significance (P<0.05). The extubation time was (20.78±2.31) min in the monitoring group, which was obviously shorter than (31.89±3.21) min of the observation group, and the difference had statistical significance (P<0.05). The number of intraoperative awareness in monitoring group patients was 0, which was less than 5 times in the observation group, and the difference had statistical significance (P<0.05). Conclusion The Narcotrend electroencephalogram consciousness monitoring in depth of anesthesia monitoring has objective, accurate, simple, and instant advantages, which the conventional observation methods can’t match with. It is worthy of clinical promotion and application.%目的：观察Narcotrend脑电意识监测在麻醉深度监测中的应用价值。方法160例心理正常择期进行全身麻醉的非开颅手术患者,随机分为监测组与观察组,每组80例。监测组患者给予Narcotrend脑电意识监测及常规监测,观察组患者仅给予常规监测,观察两组患者追加减麻醉药物的次数、拔除气管导管时间、发生术中知晓的次数。结果监测组患者追加减麻醉药物的次数为3次,显著少于观察组的9次,差异具有统计学意义(P<0.05)；监测组拔除气管导管的时间为(20.78±2.31)min,显著短于观察组的(31.89±3.21)min,差异具有统计学意义(P<0.05)；监测组患者发生术中知晓的次数为0次,显著少于观察组的5次,差异具有统计学意义(P<0.05)。结论Narcotrend脑电意识监测在麻醉深度监测中具有常规观察方法所无法比拟的客观、精确、简单、即时等优势,值得临床推广应用。