麻醉深度监测对麻醉恢复室护理工作的影响

目的：研究术中麻醉深度监测在全麻下行下腹部手术患者苏醒质量和护理工作应用。方法选取择期全麻下行下腹部手术患者120例（ASAⅠ～Ⅱ级），随机分成 NT 组和 NNT 组，NT 组患者（60）术中用 Narco-trend 监测，NNT 组患者（60）术中不用 Narcotrend 监测。记录术中丙泊酚用量；记录术后气管导管拔管时间和麻醉恢复室（postanesthesia care unit，PACU）留观时间；记录恢复室 Ricker 镇静—躁动评分；记录恶心呕吐及术后谵妄的发生率。结果 NT 组患者术中麻醉药物丙泊酚的用量比 NNT 组明显减少（P ＜0．05）；NT 组患者术后的拔管时间与PACU 留观时间比 NNT 明显缩短（P ＜0．05）；NT 组患者术后的 Ricker 镇静-躁动评分比 NNT 明显降低（P ＜0．05）；NT 组患者与 NNT 组术后恶心呕吐及术后谵妄发生率无明显差别。NT 组比 NNT 组降低了护理工作量（P ＜0．05）。结论在麻醉深度监测仪 Narcotrend 下行下腹部手术，通过有效的麻醉深度监测，可以改善患者术后的苏醒质量，这些有利于减少 PACU 护理工作量，提高了护理质量，也有助于 PACU 护理规范化。

Effect of anesthesia depth monitoring on the nursing quality of patients in the postanesthesia care unit (PACU)

Objective To investigate the effect of anesthesia depth monitoring on the recovery quality and nursing qual-ity of patients treated with lower abdominal surgery under general anesthesia. Methods A total of 1 20 patients who underwent the lower abdominal surgeries from June 201 5 to December 201 5 were randomly divided into 2 groups:non-Narcotrend monitoring group (non NT group)and Narcotrend monitoring group (NT group).And each group contains 60 cases.All patients were set in the same induce plan,and maintained by propofol-fentanyl during the operation.The dosage of propofol,the time of tracheal ex-tubation,the PACU staying time,the Ricker sedation-agitation scale,the incidence of PONV and POD,the nursing quality and nursing working load were recorded in the project. Results Using Narcotrend to monitor the anesthesia depth could significant-ly decrease the dosage of propofol (P <0.05).The tracheal extubation time and the PACU staying time of patients in NT group were much shortened than patients in non NT group (P <0.05).In NT group the Ricker scores of patients were much lower than patients in non NT group (P <0.05).And the effective anesthesia depth monitoring using Narcotrend could significantly de-crease the nursing working load and improve the nursing quality (P <0.05). Conclusion Effective anesthesia depth monito-ring using Narcotrend may improve the recovery quality in the PACU,which may decrease the working load of nurses and improve the nursing quality in PACU.