CAJ | 학술논문

目的：：探讨静脉吸入复合气管插管全身麻醉(静吸复合麻醉)和静脉麻醉在颅内动脉瘤介入治疗时的效果。方法：选择2010年5月~2012年5月在我院进行麻醉的颅内动脉瘤介入治疗的患者46例作为研究对象，按照麻醉方法分为研究组和对照组，其中研究组为静吸复合麻醉，对照组为静脉麻醉，采用SPSS13.0进行统计分析，比较两组的麻醉效果。结果：两组患者手术时间比较，没有统计学意义(P>0.05)，而唤醒时间存在统计学意义(P<0.05)，研究组和对照组手术过程中的SBP和DBP之间没有统计学意义(P>0.05)，但研究组脉搏和血压饱和度明显低于对照组(P<0.05)，两组患者手术时间比较没有统计学意义(P>0.05)，而唤醒时间存在统计学意义(P<0.05)，研究组麻醉使用的两种药物的剂量明显少于对照组(P>0.05)，且研究组的药物追加次数也明显低于对照组(P>0.05)。结论：在颅内动脉瘤的介入治疗麻醉中，静吸复合麻醉比静脉麻醉更加安全可靠，有更好的临床效果，值得推广应用。
목적：：탐토정맥흡입복합기관삽관전신마취(정흡복합마취)화정맥마취재로내동맥류개입치료시적효과。방법：선택2010년5월~2012년5월재아원진행마취적로내동맥류개입치료적환자46례작위연구대상，안조마취방법분위연구조화대조조，기중연구조위정흡복합마취，대조조위정맥마취，채용SPSS13.0진행통계분석，비교량조적마취효과。결과：량조환자수술시간비교，몰유통계학의의(P>0.05)，이환성시간존재통계학의의(P<0.05)，연구조화대조조수술과정중적SBP화DBP지간몰유통계학의의(P>0.05)，단연구조맥박화혈압포화도명현저우대조조(P<0.05)，량조환자수술시간비교몰유통계학의의(P>0.05)，이환성시간존재통계학의의(P<0.05)，연구조마취사용적량충약물적제량명현소우대조조(P>0.05)，차연구조적약물추가차수야명현저우대조조(P>0.05)。결론：재로내동맥류적개입치료마취중，정흡복합마취비정맥마취경가안전가고，유경호적림상효과，치득추엄응용。
Objective:Discusses intravenous inhalation compound endotracheal intubation general anesthesia (static absorption compound anesthesia), and the effect of intravenous anesthesia in interventional treatment of intracranial aneurysms.Methods:Choose in May 2010 to May 2012 two years in our hospital during anesthesia interventional therapy in patients with intracranial aneurysm of 46 cases as the research object,according to the anesthesia methods are classified into two groups,group and the control group,of which the team for static and suction compound anesthesia,intravenous anesthesia for control group, using SPSS13.0 statistical analysis,compared with two groups of anesthetic effect.Results:Two groups of the study group's operation time is no statistical significance (P>0.05),and wake up time exist statistical significance (P<0.05),the team and the control group in the process of the operation between SBP and DBP no statistical significance (P>0.05),but the team pulse and blood pressure saturation was significantly lower than the control group (P<0.05),two groups of the study group's operation time is no statistical significance (P>0.05),and wake up time exist statistical significance (P<0.05),the team anesthesia used two kinds of drug dose is less than that of control group (P>0.05),and the drug additional had markedly lower than that in control group (P>0.05).Conclusion:In intracranial aneurysm in interventional therapy of anesthesia,the static suction compound anesthesia than intravenous anesthesia more safety and reliable,have a better clinical effect,should increase the strength of promotion.