中国医药
中國醫藥
중국의약
CHINA MEDICINE
2011年
1期
94-96
,共3页
颅内动脉瘤%瑞芬太尼%丙泊酚
顱內動脈瘤%瑞芬太尼%丙泊酚
로내동맥류%서분태니%병박분
Intracranial aneurysm%Remifentanil%Propofol
目的 比较在瑞芬太尼复合丙泊酚全凭静脉麻醉下喉罩通气和气管插管用于颅内动脉瘤血管介入治疗术对患者血流动力学的影响.方法 40例美国麻醉医师学会(ASA)Ⅰ～Ⅱ级在全身麻醉下实施颅内动脉瘤血管介入治疗术的患者,完全随机分为喉罩组和气管插管组.比较2组麻醉诱导前(T0)、插入喉罩/气管导管前(T1)、插入喉罩/气管导管后即刻(T2)、插入喉罩/气管导管后5 min(T3)、10 min(T4)、手术开始时(T5)和拔除喉罩/气管导管后即刻(T6)的SBP、DBP、心率(HR)、脉搏血氧饱和度(SpO2)、呼气末二氧化碳分压(PETCO2).结果 T2时气管插管组SBP、DBP、HR[分别为(144.1±41.8)mm Hg(1 mm Hg=0.133 kPa)、(89.3±12.5)mm Hg、(92.3±12.2)次/min]显著高于喉罩组[分别为(106.3±18.6)mm Hg、(63.1±9.2)mm Hg、(71.4±9.2)次/min],差异均有统计学意义(均P＜0.01).结论 喉罩通气下瑞芬太尼复合丙泊酚全凭静脉麻醉用于颅内动脉瘤血管介入治疗术能使麻醉诱导平稳,术中血流动力学的稳定,术后苏醒快,是一种理想的麻醉方法.
目的 比較在瑞芬太尼複閤丙泊酚全憑靜脈痳醉下喉罩通氣和氣管插管用于顱內動脈瘤血管介入治療術對患者血流動力學的影響.方法 40例美國痳醉醫師學會(ASA)Ⅰ～Ⅱ級在全身痳醉下實施顱內動脈瘤血管介入治療術的患者,完全隨機分為喉罩組和氣管插管組.比較2組痳醉誘導前(T0)、插入喉罩/氣管導管前(T1)、插入喉罩/氣管導管後即刻(T2)、插入喉罩/氣管導管後5 min(T3)、10 min(T4)、手術開始時(T5)和拔除喉罩/氣管導管後即刻(T6)的SBP、DBP、心率(HR)、脈搏血氧飽和度(SpO2)、呼氣末二氧化碳分壓(PETCO2).結果 T2時氣管插管組SBP、DBP、HR[分彆為(144.1±41.8)mm Hg(1 mm Hg=0.133 kPa)、(89.3±12.5)mm Hg、(92.3±12.2)次/min]顯著高于喉罩組[分彆為(106.3±18.6)mm Hg、(63.1±9.2)mm Hg、(71.4±9.2)次/min],差異均有統計學意義(均P＜0.01).結論 喉罩通氣下瑞芬太尼複閤丙泊酚全憑靜脈痳醉用于顱內動脈瘤血管介入治療術能使痳醉誘導平穩,術中血流動力學的穩定,術後囌醒快,是一種理想的痳醉方法.
목적 비교재서분태니복합병박분전빙정맥마취하후조통기화기관삽관용우로내동맥류혈관개입치료술대환자혈류동역학적영향.방법 40례미국마취의사학회(ASA)Ⅰ～Ⅱ급재전신마취하실시로내동맥류혈관개입치료술적환자,완전수궤분위후조조화기관삽관조.비교2조마취유도전(T0)、삽입후조/기관도관전(T1)、삽입후조/기관도관후즉각(T2)、삽입후조/기관도관후5 min(T3)、10 min(T4)、수술개시시(T5)화발제후조/기관도관후즉각(T6)적SBP、DBP、심솔(HR)、맥박혈양포화도(SpO2)、호기말이양화탄분압(PETCO2).결과 T2시기관삽관조SBP、DBP、HR[분별위(144.1±41.8)mm Hg(1 mm Hg=0.133 kPa)、(89.3±12.5)mm Hg、(92.3±12.2)차/min]현저고우후조조[분별위(106.3±18.6)mm Hg、(63.1±9.2)mm Hg、(71.4±9.2)차/min],차이균유통계학의의(균P＜0.01).결론 후조통기하서분태니복합병박분전빙정맥마취용우로내동맥류혈관개입치료술능사마취유도평은,술중혈류동역학적은정,술후소성쾌,시일충이상적마취방법.
Objective To compare the hemodynamic effects of remifentanil and propofol during total intravenous anesthesia with laryngeal mask airway and tracheal intubation for the operation of endovascular embolization in intracranial aneurysms. Methods Forty cases of American society of Anesthesiologists (ASA) Ⅰ～Ⅱ grade under general anesthesia in intracranial aneurysm patients undergoing interventional treatment were randomly divided into the laryngeal mask airway(LMA) group and tracheal intubation. Systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), pulse oxygen saturation (SpO2), end-tidal carbon dioxide partial pressure (PET CO2) were recorded at 7 time points. Results In intubation group,SBP,DBP,HR[(144. 1 ±41.8)mm Hg, (89.3 ±12.5)mm Hg, (92.3 ± 12.2)times/min, respectively] were significantly higher than those in the LMA group [(106.3±18.6)mm Hg, (63. 1 ±9.2)mm Hg, (71.4 ±9. 2)times/min,respectivel] after intubation(P ＜0.01).Conclusions Laryngeal mask ventilation with remifentanil and propofol total intravenous anesthesia is a good anesthesia for intracranial aneurysms interventional therapy. This anesthesia method can guarantee a smooth induction of anesthesia, hemodynamic stability and rapid recovery after surgery.
