首页|基于麻醉深度监测仪引导麻醉深度对老年腹腔镜术后苏醒及不良反应影响研究

基于麻醉深度监测仪引导麻醉深度对老年腹腔镜术后苏醒及不良反应影响研究

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目的:探讨在麻醉深度监测仪引导下临床麻醉深度对老年患者腹腔镜术后苏醒及不良反应的影响.方法:回顾性研究2022年6月~2024年1月在本院接受腹腔镜术150例老年患者的临床资料,根据术中麻醉深度分成浅度组、中度组以及深度组,均为50例,均在麻醉深度监测仪监控下进行麻醉,观察三组术后苏醒情况,应用简易精神状态检查量表(MMSE)评估术后患者认知恢复状态,并分析不良反应发生情况.结果:浅度组、中度组患者术后苏醒时间、拔管时间及定向力恢复时间均显著短于深度组(P<0.05),但浅度组、中度组间无显著差异(P>0.05).通过评估,浅度组、中度组术后4h、8h的MMSE评分均高于深度组(P<0.05),但术后2h无明显差异(P>0.05),且浅度组、中度组基本一致(P>0.05).术后浅度组不良反应为4.0%,中度组为12.0%,深度组为16.0%,组间差异有统计学意义(P<0.05).结论:在老年腹腔镜术中通过麻醉深度监测仪监测麻醉深度,有助于把控麻醉深度,提高术后苏醒质量,减少麻醉不良反应发生,对临床有一定的指导意义.
A Study on the Effects of Anesthesia Depth Guided by Anesthesia Depth Monitor on Postoperative Awakening and Adverse Reactions in Elderly Laparoscopic Surgery
Objective:To explore the effect of clinical anesthesia depth guided by anesthesia depth monitoring equipment on postoperative recovery and adverse reactions in elderly patients undergoing laparoscopic surgery.Methods:A retrospective study was conducted on the clinical data of 150 elderly patients who underwent laparoscopic surgery in our hospital from June 2022 to January 2024.According to the depth of anesthesia during surgery,they were divided into shallow group,moderate group,and deep group,all of which were 50 cases.They were anesthetized under the monitoring of anesthesia depth monitors.The postoperative recovery of the three groups was observed,and the cognitive recovery status of postoperative patients was evaluated using the Mini Mental State Examination(MMSE),and the occurrence of adverse reactions was analyzed.Results:The postoperative recovery time,extubation time,and directional force recovery time of patients in the shallow and moderate groups were significantly shorter than those in the deep group(P<0.05),but there was no significant difference between the shallow and moderate groups(P>0.05).Through evaluation,the MMSE scores of the shallow and moderate groups were higher than those of the deep group at 4 and 8 hours after surgery(P<0.05),but there was no significant difference at 2 hours after surgery(P>0.05),and the shallow and moderate groups were basically the same(P>0.05).The incidence of postoperative adverse reactions was 4.0%in the superficial group,12.0%in the moderate group,and 16.0%in the deep group,with statistically significant differences between the groups(P<0.05).Conclusion:Monitoring the depth of anesthesia through an anesthesia depth monitoring device in elderly laparoscopic surgery can help control the depth of anesthesia,improve postoperative recovery quality,reduce the occurrence of adverse anesthesia reactions,and have certain guiding significance for clinical practice.

anesthesia depth monitoring devicedepth of anesthesialaparoscopic surgeryelderly patientsawakening

林小华、康崟

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厦门大学附属第一医院麻醉科(福建 厦门 361000)

厦门大学附属第一医院神经外科(福建 厦门 361000)

麻醉深度监测仪 麻醉深度 腹腔镜术 老年患者 苏醒

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(18)