Narcotrend脑电监测在小儿先天性心脏病快通道麻醉中的应用被引量：5

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摘要目的：探讨Narcotrend脑电监测仪在小儿先天性心脏病手术快通道麻醉中的应用。方法：40例择期行房、室间隔缺损修补术患儿，随机分为两组，临床组和NI组，每组20例，采用异丙酚复合瑞芬太尼静脉全身麻醉。记录两组患儿麻醉诱导前（T0）、气管插管后（T1）、转流前（T2）、转流后（T3）、复温（T4）、转流停机后（L5）、手术结束（R）7个时间点的HR和MAP，且均记录两组患儿CPB时间、手术时间、听从指令时间以及拔管时间。NI组同时记录NI，其维持在D：～E0.结果：两组患儿在T1时点HR显著减慢，T5、T6时点HR显著增快，T4、T5时点MAP显著降低，与组内其他时点比较其差异有统计学意义（P〈0．05），但两组患儿在同时点血流动力学参数比较。其差异无统计学意义（P〉0．05）；异丙酚使用剂量：临床组显著多于NI组（P〈0．05）；听从指令及拔管时间：临床组显著长于NI组（P〈0．05）。结论：Narcotrend脑电监测仪在小儿先天性心脏病快通道麻醉中有助于减少麻醉药的用量，缩短患儿苏醒及在ICU停留时间。

作者许厚仁郭锐王力峰邓云菱钟茂林彭道珍

机构地区赣南医学院第一附属医院麻醉科

出处《实用医学杂志》 CAS 北大核心 2013年第20期3351-3352,共2页 The Journal of Practical Medicine

关键词 Narcotrend脑电监测仪先天性心脏病快通道麻醉

分类号 R726.1 [医药卫生—儿科]

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