当代医学2020年8月第26卷第22期总第573期Contemporary Medicine ，Aug.2020，Vol.26No.22Issue No.573
doi：10.3969/j.issn.1009-4393.2020.22.012--论著--Narcotrend 监测用于继发性甲状旁腺功能亢进患者进行甲状旁腺全切除+自体前臂移植术的临床研究
李小勇，易萍，肖泽田
（萍乡市人民医院麻醉科，江西萍乡337055）
摘要：目的分析Narcotrend监测用于继发性甲状旁腺功能亢进患者进行甲状旁腺全切除联合自体前臂移植术的临床效果。方法选取2018年1月至2019年10月本院收治的50例接受甲状旁腺切除联合自体前臂移植术治疗的继发性甲状旁腺功能亢进患者，随机分为对照组与实验组，每组25例。对照组按照血流动力学和经验开展麻醉诱导和维持，实验组根据标准方法连接Narcotrend 检测仪，开展常规检测。比较两组
女士短发发型
患者术中术中瑞芬太尼和丙泊酚麻醉药物用量、苏醒与住院情况以及术后并发症发生情况。结果与对照组比较，实验组术中瑞芬太尼以及丙泊酚用量、住院费用、术后并发症发生率均明显减少（P ＜0.05），苏醒时间、恢复室驻留时间、住院时间均明显缩短（P ＜0.05）。结论Narcotrend 监测甲状旁腺全切除联合自体前臂移植术能减少术中麻醉药用量，缩短苏醒时间、恢复室驻留时间和住院时间，并降低术后并发症风险，减轻患者经济负担，具有临床推广价值。
搞笑生日祝福关键词：Narcotrend 监测；继发性甲状旁腺功能亢进；甲状旁腺全切除；自体前臂移植术
Clinical study of Narcotrend monitoring in patients with
太原市长信箱
condary hyperparathyroidism undergoing total至德
parathyroidectomy plus autologous
forearm transplantation
Li Xiaoyong,Yi Ping,Xiao Zetian
(Department of Anesthesiology,The People's Hospital of Pingxiang,Pingxiang,Jiangxi,337055,China)
Abstract:Objective To analyze the clinical effect of Narcotrend monitoring in patients with condary hyperparathyroidism undergoing total parathyroidectomy combined with autologous forearm transplantation.Methods 50patients with condary hyperparathyroidism who underwent parathyroidectomy combined with autologous forearm transplantation in our hospital from January 2018to October 2019were lected,they were randomly divided into control group and experimental group,with 25cas in each group.The control group was induced and maintained anesthesia according to hemodynamics and experience,the experimental group was connected to Narcotrend according to standard method.The dosage of remi-fentanil and propofol,recovery and hospitalization,and postoperative complications were compared between the two groups.Results Compared with the control group,the dosage of remifentanil and propofol,hospitalization expens and postoperative complications were significantly reduced in the experimental group (P ＜0.05),the recovery time,the residence time in recovery room and the hospitalization time of the experimental group were significantly shortened (P ＜0.05).Conclusion Narcotrend monitoring of total parathyroidectomy combined with autologous forearm transplan-tation can reduce the amount of ane
sthetics ud during operation,shorten the recovery time,recovery room stay time and hospitalization time,re-duce the risk of postoperative complications,reduce the economic burden of patients,and has clinical popularization value.海军飞行员
Key words:Narcotrend monitoring;Secondary hyperparathyroidism;Total parathyroidectomy;Autologous forearm transplantation
Narcotrend 脑电监测仪作为一种新型的麻醉深度监测仪，其基础为脑电分析，利用计算机处理脑电信号，然后自动分级，并将脑电图分为不同阶段，包括清醒（A）、镇静（B）、浅麻醉（C）、常规普通麻醉（D）、深度麻醉（E）、脑电活动消失
回望（F），形成从清醒（0）到等电位（100）的伤害趋势指数[1]。采用Narcotrend 监测仪对患者脑电波进行监测，能对其麻醉深度、镇静深度进行准确反映，进而为临床用药和麻醉提供指导，让麻醉过程保持平稳和可控[2]。本研究主要分析了Nar-cotrend 监测用于继发性甲状旁腺功能亢进患者进行甲状旁腺全切除联合自体前臂移植术的临床效果，现报道如下。1资料与方法
1.1临床资料选取2018年1月至2019年10月本院收治的50例接受甲状旁腺切除联合自体前臂移植术治疗的继发资助项目：萍乡市科技支撑计划项目（2018PY012）
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