肿瘤预防与治疗2016，Vol.29Issue(4)：214-216,3.DOI:10.3969/j.issn.1674-0904.2016.04.005
Narcotrend 监测在老年无痛肠镜检查中的运用
Assessment of sedative depth induced by propofol in painless enteroscopic intestinal tumor screening under narcotrend monitoring
摘要
Abstract
Objective:To assess the sedation induced by propofol in painless enteroscopic intestinal tumor screen-ing under narcotrend monitoring.Methods:240 patients(130male,110female )at age 65 ~75 years old which have under-gone colonoscopy exam for intestinal tumor screening from March 2015 to December 2015 were participated in our study. The participants were randomized into 3 groups by computer:group A,group B,group C.Each group consists of 80 pa-tients.During the anesthesia procedure,propofol is infused by TCI (target-controlled infusion)while Narcortrend was used to monitor the sedative depth.For group A,the NI value is maintained at D0 level (64 ~57)which was a relatively lower anesthetic level.For group B,the NI value was maintained at D1 level (56 ~47)which was intermediate,while for group C,the NI value was maintained at D2 level (46 ~37)which was high.The infusion of propofol is ceased when the opera-tion finished.The incidence of high and low pressure,tachycardia,bradycardia,respiratory inhibition and movement were recorded during the process of ranging from anesthesia induction to recovery.Results:Three groups successfully completed surgery without movement.The lowest incidence is maintained at D1 level (P <0.05 ).There was no difference for 3 groups for the time of falling into sleep and awake (P >0.05).Conclusion:NI value at D1 colonoscopy exam is appropri-ate for elder patients.关键词
肠镜/镇静深度/麻醉并发症/老年/肠道肿瘤Key words
Colonoscopy/Depth of sedation/Anesthesia complications/old/intestinal tumor分类
医药卫生引用本文复制引用
张宏伟,朱姝颖,舒进军,徐义全,杜丽,王艳青,张可贤..Narcotrend 监测在老年无痛肠镜检查中的运用[J].肿瘤预防与治疗,2016,29(4):214-216,3.基金项目
四川省卫计委资助项目 （）
