空军军医大学学报2024,Vol.45Issue(4) :401-406.DOI:10.13276/j.issn.2097-1656.2024.04.008

国内医务人员对于脑电监测用于全身麻醉/镇静患者的认知现状调查

Investigation on cognitive status of medical staff in China about EEG monitoring for patients undergoing general anesthesia/sedation

庹小双 李梦钰 董海龙 张泽菲 张欣欣 路志红
空军军医大学学报2024,Vol.45Issue(4) :401-406.DOI:10.13276/j.issn.2097-1656.2024.04.008

国内医务人员对于脑电监测用于全身麻醉/镇静患者的认知现状调查

Investigation on cognitive status of medical staff in China about EEG monitoring for patients undergoing general anesthesia/sedation

庹小双 1李梦钰 1董海龙 1张泽菲 1张欣欣 1路志红1
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作者信息

  • 1. 空军军医大学西京医院麻醉与围术期医学科,陕西西安 710032
  • 折叠

摘要

目的 调查我国1 500余家医院部分医务人员对脑电监测用于全身麻醉/镇静患者的认知情况,为进一步使用脑电监测提供决策依据.方法 采用自行设计的问卷于2023年11月对我国29个省份1 500余家医院医务人员就脑电监测用于全身麻醉/镇静患者的认知和应用情况进行问卷调查,包括5个部分32个条目.结果 本次调查共收集到调查问卷3 315份,高达97.98%的人员了解脑电监测设备,其中清楚了解者占68.45%.47.17%的医务人员既了解脑电监测设备又知晓其作用原理;90.38%的医务人员认为脑电监测可降低术中知晓的发生率;认为衰弱和脆弱脑功能的患者需进行脑电监测的医务人员占比分别为90.29%和86.61%.不同麻醉药物被认为是首位影响脑电监测的因素,93.48%的医务人员认为其对脑电监测有影响;95.93%的医务人员认为老年患者更应该进行常规脑电监测;95.14%的人员赞成脑电监测复合其他监测可提供更精准的麻醉.结论 我国各大医院以麻醉医生为主的医务人员对脑电设备较为了解,并且对脑电设备的作用态度较为积极,但对其作用原理的了解程度还有待提升.大部分麻醉医务人员认同脑电监测对老年患者、合并衰弱和脆弱脑功能的患者有益,但其容易受到麻醉药物等因素的影响.

Abstract

Objective To investigate the cognitive status of some medical staff in more than 1 500 hospitals in China about EEG monitoring for patients undergoing general anesthesia/sedation,and provide decision basis for further use of EEG monitoring.Methods A self-designed questionnaire was used to investigate the cognition and application of EEG monitoring in patients undergoing general anesthesia/sedation among medical staff in more than 1 500 hospitals in 29 provinces in China in November 2023.The questionnaire contained 5 parts and 32 items.Results A total of 3 315 questionnaires were collected in this survey.Up to 97.98%of the respondents understood the EEG monitoring equipment,of which 68.45%clearly understood.Precisely 47.17%of the medical staff knew both the EEG monitoring equipment and its working principle,and 90.38%of the medical staff believed that EEG monitoring could reduce the incidence of intraoperative awareness.Precisely 90.29%and 86.61%of the medical staff considered that patients with weak and fragile brain function needed EEG monitoring,respectively.Different anesthetics were considered to be the first factor affecting EEG monitoring,and 93.48%of the medical staff believed that it had an impact on EEG monitoring.Precisely 95.93%of the medical staff thought that the elderly patients should undergo routine EEG monitoring,and 95.14%of the participants agreed that EEG monitoring combined with other monitoring could provide more accurate anesthesia.Conclusion The medical staff in major hospitals in China,mainly anesthesiologists,have a better understanding of EEG equipment and a more positive attitude towards its role,but the understanding of its principle needs to be improved.Most anesthesiologists agree that EEG monitoring may benefit elderly patients and patients with weak and fragile brain function,but it is easily affected by factors such as anesthetics.

关键词

医务人员/脑电监测/麻醉药物/围术期

Key words

medical staff/EEG monitoring/anesthetics/perioperative period

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基金项目

国家自然科学基金(82371476)

国家自然科学基金(82293644)

出版年

2024
空军军医大学学报
第四军医大学

空军军医大学学报

CHSSCD
影响因子:0.372
ISSN:2097-1656
参考文献量15
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