基于麻醉深度與肌松監(jiān)測儀監(jiān)測指導(dǎo)下的麻醉方式在經(jīng)口腔前庭入路機(jī)器人輔助甲狀腺切除患者中的應(yīng)用
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中圖分類號(hào) R614 R653 文獻(xiàn)標(biāo)識(shí)碼A文章編號(hào) 2096-7721（2025）04-0596-05
Application of anesthesia guided by anesthetic depth and neuromuscular monitoring in patients undergoing transoral vestibular robot-assisted thyroidectomy
BAIJianyun’，HEFeng'，HETing'，CAOLanglang'，HAOJing'，LIBin2
1.Departentssilyrdspialoflinlinina；pamtofltFsl Hospital of Xian Jiaotong University，Xian 71Oo61，China）
AbstractObjective：Toinvestigatetheeficacyofanesthesiaguidedbyanestheticdepthandneuromuscularmonitorinpatients undergoing transoralrobot-asistedthyroidectomy（TORT）.Methods：150patientswhounderwentrobot-assistedthyrodectomyin transoralvestibulartheThirdHospitalofYulinfromJanuary2O18toJune2O24wereselected.Theyweredividedintotheobservation groupandthecontrol groupusingarandomnumbertable，with75patients ineachgroup.Theobservationgroupreceivedanesthesia guidedbyanestheticdepthandneuromuscularmonitoring，whilethecontrolgroupreceivedconventionalmonitoringguidedaesthsia. Anesthesiautcos，rofoldage，modaicaeersatprduction（o）ouaopratively）dofgry）， and6hoursaftersurgery（T3），andadversereactionswerecomparedbetwenthetwo groupsofpatients.Results：Theextubationtime， spontaneousrespirationrecoverytime，andawakeningtimeinteobservationgroupweresignficantlyarliertantoseintheontrol group （ P <0.05）. The totalinduction doseof propofol，as wellas the propofol infusion doses during inductionandmaintenancephases， were significantly lower in the observation group than those in the control group （ P<0 . 0 5 .AtT1，T2，and T3，heartrate and meanarterial pressure （MAP）in the observation group were significantly lower than those in the control group （ P<0 . 0 5 ） . There was no significant differenceintheoverallincidenceofadversereactionsbetweenthe twogroups （ P>0 . 0 5 ） .Conclusion：Anesthesiaguidedbyanesthetic depthandneuromuscularmonitoringcaefectivelyshortenrecoverytime，educeintraoperativeanestheticdosage，andmaintainore stable hemodynamics in patients undergoing TORT.
Key WordsAnestheticDepth；Neuromuscular Monitoring Device；Robot-assisted Surgery；Transoral Vestibular Approach； Thyroidectomy
隨著醫(yī)學(xué)技術(shù)的不斷進(jìn)步，臨床治療甲狀腺癌的手術(shù)方法也逐漸完善[1]。（剩余8590字）