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我国麻醉医师对麻醉深度监测仪使用现状及态度的调查
Current application status and attitude of depth of anesthesia monitoring devices in Chinese anesthesiologists
- 陆军军医大学学报 2023年45卷第1期 页码：67-72
- 作者机构：
1.646000 四川 泸州，西南医科大学附属医院麻醉科，麻醉与重症医学泸州市重点实验室
2.400037 重庆，陆军军医大学(第三军医大学)第二附属医院麻醉科
- 作者简介：
[ 詹剑，E-mail: 119042327@qq.com ZHAN Jian, E-mail: 119042327@qq.com
- 基金信息：国家重点研发计划(2018YFC0117200)
DOI：10.16016/j.2097-0927.202204129
中图分类号： R195;R197.39;R614收稿：2022-04-17，
修回：2022-10-31，
纸质出版：2023-01-15
- 稿件说明：
移动端阅览
王璐, 郭杨, 李洪, 等. 我国麻醉医师对麻醉深度监测仪使用现状及态度的调查[J]. 陆军军医大学学报, 2023,45(1):67-72.
Lu WANG, Yang GUO, Hong LI, et al. Current application status and attitude of depth of anesthesia monitoring devices in Chinese anesthesiologists[J]. Journal of Army Medical University, 2023, 45(1): 67-72.
王璐, 郭杨, 李洪, 等. 我国麻醉医师对麻醉深度监测仪使用现状及态度的调查[J]. 陆军军医大学学报, 2023,45(1):67-72. DOI： 10.16016/j.2097-0927.202204129.
Lu WANG, Yang GUO, Hong LI, et al. Current application status and attitude of depth of anesthesia monitoring devices in Chinese anesthesiologists[J]. Journal of Army Medical University, 2023, 45(1): 67-72. DOI： 10.16016/j.2097-0927.202204129.
摘要
目的
2
对我国麻醉医师进行问卷调查，分析麻醉医师对麻醉深度(depth of anesthesia
DoA)监测仪的使用现状及其对DoA监测仪有效性的评价。
方法
2
选择已获得执业医师资格证的中国麻醉医师为调研对象。2020年7-9月在全国范围内通过发送微信调研表对12 750名麻醉医师进行调研，完成被调研者对DoA监测仪使用情况及有效性等数据的收集，最终获得有效问卷4 037份。采用SPSS 26.0软件，数据以百分比和95%置信区间(
CI
)的形式表示，进行卡方检验对获得的调研数据进行统计分析。
结果
2
① 在临床麻醉中常规使用DoA监测仪者仅占9.1%。教学医院[非常熟悉的比例30.3%(28.3%~32.3%)
]
和三甲医院[非常熟悉的比例28.8%(27.1%~30.6%)
]
的麻醉医师对DoA监测仪的熟悉程度分别高于非教学医院[非常熟悉的比例14.8%(13.2%~16.4%)
]
和非三甲医院[非常熟悉的比例11.8%(10.1%~13.5%)
]
。65.4%的麻醉医师认为DoA监测仪的3个脑电参数同等重要，其中教学医院医师比例[66.7%(64.7%~68.7%)
]
高于非教学医院[64.1%(62.0%~66.2%)
]
，但95%
CI
有重叠，差异无统计学意义。②96.5%的麻醉医师认为DoA监测仪能有效监测麻醉深度。而麻醉医师对不同类型DoA监测仪的有效性评价无明显差异。③不同职称的麻醉医师认为不同的全身麻醉方法均需使用DoA监测仪，仅对保留自主呼吸的麻醉方式是否需要DoA监测仪的看法有统计学差异(
P
<
0.05)。
结论
2
我国DoA监测仪使用率较低，不同类型DoA监测仪均能有效监测DoA并适用于不同的全身麻醉方法，值得临床推广使用。
Abstract
Objective
2
To understand the current status of application of depth of anesthesia (DoA) monitors used by anesthesiologists in China and evaluated its validity.
Methods
2
Chinese anesthesiologists who have been licensed as medical practitioners were selected as the research objects. A nationwide online survey was carried out by sending a WeChat survey form to 12 750 anesthesiologists during July and September 2020
and the data of DoA monitor usage and effectiveness were collected. Finally
4 037 valid questionnaires were obtained. The survey data were analyzed using SPSS 26.0 software. The data were expressed as proportions with 95% confidence interval (
CI
)
and
Chi
-square test was conducted for statistical analysis.
Results
2
① Only 9.1% of anesthesiologists routinely used DoA monitors in clinical anesthesia. Anesthesiologists in teaching hospitals [proportion of very familiar: 30.3% (28.3%~32.3%)
]
and grade-A tertiary hospitals [proportion of very familiar: 28.8% (27.1%~30.6%)
]
were more familiar with DoA monitors than those in non-teaching hospitals [proportion of very familiar: 14.8% (13.2%~16.4%)
]
and non-grade-A tertiary hospitals [proportion of very familiar: 11.8% (10.1%~13.5%)
]
respectively. Among the participants
65.4% of them considered that the 3 electroencephalogram parameters of DoA monitors were equally important
with the proportion of anesthesiologists in teaching hospitals [66.7%(64.7%~68.7%)
]
higher than that in non-teaching hospitals [64.1%(62.0%~66.2%)
]
though no statistical difference due to 95%
CI
overlapping. ② 96.5% of anesthesiologists believed that the DoA monitors could effectively monitor DoA. However
there was no significant difference in anesthesiologists' evaluation of the effectiveness of different DoA monitors. ③ Anesthesiologists with different titles believed that DoA monitors were indispensable for different general anesthesia methods
but statistical difference was seen in whether DoA monitors were required for general anesthesia preserving spontaneous resp
iration (
P
<
0.05).
Conclusion
2
The usage of DoA monitors in China is quite low. Different types of DoA monitors are effective for DoA monitoring and suitable for different general anesthesia methods
which are worthy of clinical application.
关键词
Keywords
references
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