基于麻醉深度与肌松监测仪监测指导下的麻醉方式在经口腔前庭入路机器人辅助甲状腺切除患者中的应用
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中图分类号 R614 R653 文献标识码A文章编号 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
随着医学技术的不断进步，临床治疗甲状腺癌的手术方法也逐渐完善[1]。（剩余8590字）