摘要
目的探讨脑状态指数(CSI)、Narcotrend指数(NTI)及丙泊酚Ce对患者全麻苏醒期意识恢复不同阶段的预测能力。方法 25例腹腔镜下卵巢囊肿剔除术患者实施全身麻醉,麻醉维持应用丙泊酚和瑞芬太尼。观察CSI、NTI、丙泊酚Ce及MAP和HR在患者苏醒期意识恢复不同阶段的变化情况。结果 CSI、NTI、丙泊酚Ce变化情况同患者苏醒期意识恢复不同阶段具有明显的相关性,其系数分别为:0.89、0.92、-0.86(P<0.05);三者对患者意识恢复不同阶段的预测概率(Pk)均>0.8,同Pk=0.5相比,差异有统计学意义(P<0.05)。结论患者全麻苏醒期意识恢复不同阶段可通过CSI、NTI及丙泊酚Ce变化情况进行反映,三者的预测能力相同。
Objective To discuss the predictive abilities of CSI, NTI, and propofol Ce in consciousness recovery of general anesthesia patients. Methods A total of 25 patients received general anesthesia for ovarian cystectomy by la- paroscope were selected. Propofol and remifentanil were used for maintenance of anesthesia. Changes of CSI, NTI, and propofol Ce, as well as MAP and HR were observed during different periods of consciousness recovery. Results There was significant relevance between the changes of CSI, NTI and propofol Ce with the different periods of consciousness recovery. The correlation coefficients were 0.89, 0.92, and -0.86, respectively（P〈0.05）. The prediction probabilities （Pk） were all above 0.8 and were statistically significant compared with Pk=0.5 （P〈0.05）. Conclusion CSI, NTI and propofol Ce can reflect the different periods of consciousness recovery in patients with general anesthesia, and their predictive abilities are identical.
出处
《中国现代医生》
2014年第11期10-12,共3页
China Modern Doctor
关键词
脑状态指数
NARCOTREND指数
全麻苏醒期
意识恢复
预测
Cerebral state index
Narcotrend index
Recover period of general anesthesia
Consciousness recovery
Prediction
