摘要
目的脑电监测是目前麻醉深度监测研究的热点,Narcotrend作为新型麻醉深度监护仪对麻醉/镇静的监测效果显著,但也存在不少缺陷。文中通过比较分析已发表的Narcotrend相关文献,评价Narcotrend麻醉深度监护仪在临床应用方面的可靠性。方法使用Pubmed、CBMDisc数据库、Google等搜索引擎进行电子检索和人工检索,获取Narcotrend在临床应用方面的文献40篇。依据入选标准和排除标准,选择其中23篇进行比较分析。结果在纳入的23篇文献中,对麻醉/镇静深度监测可靠性的评价:11篇做出肯定的评价、5篇做出否定或中立的评价;有7篇做出全麻苏醒时间缩短的评价;有6篇作出全麻药物用量减少的评价。结论 Narcotrend在麻醉/镇静深度监测可靠性方面存在矛盾结论,但依Narcotrend指导下临床麻醉可以使全麻苏醒时间缩短、相关麻醉药物用量减少。
Objective Brain electricity monitoring is a hot topic in the study of anesthesia depth monitoring. Narcotrend, as a new method for monitoring the depth of anesthesia/sedation, has exhibited remarkable effects despite its drawbacks. The purpose of this study is to evaluate the reliability of Nareotrend in clinical application by analysis of published literature. Methods We conduc- ted electronic and manual search of Pubmed, CBMDisc database and Google for the latest clinical application of Narcotrend. According to the inclusion and exclusion criteria, 23 out of 40 Narcotrend related publications were selected for further analysis. Results Nar- eotrend was evaluated as reliable for monitoring the depth of anesthesia/sedation in 11 of the 23 publications, not or not so reliable in 5, and attributive to the shortening of recovery time and reduction of anesthetic dose in general anesthesia in 7 and 6, respectively. Conclusion It is controversial whether Narcotrend is reliable in monitoring the depth of anesthesia/sedation, but it can shorten recov- ery time and reduce anesthetic dose in general anesthesia.
出处
《医学研究生学报》
CAS
北大核心
2012年第12期1273-1276,共4页
Journal of Medical Postgraduates
