Narcotrend监测技术在无痛结肠镜检查中的应用

目的探讨在无痛结肠镜检查中使用Narcotrend麻醉脑电意识深度监测系统监测丙泊酚全凭静脉麻醉时麻醉深度,评估丙泊酚应用的有效性、安全性,确立无痛结肠镜检查时恰当的Narcotrend数值（NI）范围以指导临床。方法无痛结肠镜检查150例,根据NI值随丙泊酚输入剂量的变化分为3组,每组50例。A组NI=35～45,B组NI=46～56,C组NI=57～67。记录检查过程中生命体征、呛咳体动反应、反流误吸、结肠镜检查时间、苏醒时间、丙泊酚用量。结果丙泊酚用量A组明显高于B组和C组（P〈0.01）;A组苏醒时间高于B组和C组（P〈0.05）;B组检查过程中发生不良反应仅为8%,低于A组（24%）和C组（16%）（P〈0.05）。结论 Narcotrend可以指导监测无痛结肠镜检查的麻醉深度,NI值在46～56具有较高的安全性及有效性。

Clinical study on narcotrend monitoring used for no pain-anesthesia during colonoscopy in patient

Objective To analyze the diagnosis and management of 238 cases of urinary calculus in some southeast area soldiers,and offer evidence for the prevention.Methods All 238 cases were accepted ESWL,and potassium citrate granules after ESWL,then the effect weas observed.Results All 238 cases were accepted ESWL 1-3 times,226 cases（94.96%） were cured and no one was relapsed withurinary calculus during the 2-12 months follow up.Conclusion ESWL is an ideal method to cure the urinary calculus in some southeast area soldiers,and potassium citrate granules is effective for preventing urinary calculusrelapse.