机器人外科学杂志（中英文）2025，Vol.6Issue(4)：596-600,5.DOI:10.12180/j.issn.2096-7721.2025.04.014
基于麻醉深度与肌松监测仪监测指导下的麻醉方式在经口腔前庭入路机器人辅助甲状腺切除患者中的应用
Application of anesthesia guided by anesthetic depth and neuromuscular monitoring in patients undergoing transoral vestibular robot-assisted thyroidectomy
摘要
Abstract
Objective:To investigate the efficacy of anesthesia guided by anesthetic depth and neuromuscular monitor in patients undergoing transoral robot-assisted thyroidectomy(TORT).Methods:150 patients who underwent robot-assisted thyroidectomy in transoral vestibular the Third Hospital of Yulin from January 2018 to June 2024 were selected.They were divided into the observation group and the control group using a random number table,with 75 patients in each group.The observation group received anesthesia guided by anesthetic depth and neuromuscular monitoring,while the control group received conventional monitoring-guided anesthesia.Anesthesia outcomes,propofol dosage,hemodynamic parameters at pre-induction(T0),1 hour intraoperatively(T1),end of surgery(T2),and 6 hours after surgery(T3),and adverse reactions were compared between the two groups of patients.Results:The extubation time,spontaneous respiration recovery time,and awakening time in the observation group were significantly earlier than those in the control group(P<0.05).The total induction dose of propofol,as well as the propofol infusion doses during induction and maintenance phases,were significantly lower in the observation group than those in the control group(P<0.05).At T1,T2,and T3,heart rate and mean arterial pressure(MAP)in the observation group were significantly lower than those in the control group(P<0.05).There was no significant difference in the overall incidence of adverse reactions between the two groups(P>0.05).Conclusion:Anesthesia guided by anesthetic depth and neuromuscular monitoring can effectively shorten recovery time,reduce intraoperative anesthetic dosage,and maintain more stable hemodynamics in patients undergoing TORT.关键词
麻醉深度/肌松监测仪/机器人辅助手术/经口腔前庭入路/甲状腺切除术Key words
Anesthetic Depth/Neuromuscular Monitoring Device/Robot-assisted Surgery/Transoral Vestibular Approach/Thyroidectomy分类
医药卫生引用本文复制引用
白建云,贺峰,贺婷,曹浪浪,郝静,李斌..基于麻醉深度与肌松监测仪监测指导下的麻醉方式在经口腔前庭入路机器人辅助甲状腺切除患者中的应用[J].机器人外科学杂志（中英文）,2025,6(4):596-600,5.基金项目
榆林市科协计划项目(20220454)Plan Project of Yulin Association for Science and Technology(20220454) （20220454）
