当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2013年
29期
143-144
,共2页
陈玲坤%苏薇%莫朴
陳玲坤%囌薇%莫樸
진령곤%소미%막박
V-P分流术%力月西%瑞芬太尼
V-P分流術%力月西%瑞芬太尼
V-P분류술%력월서%서분태니
V-P bypass%Midazolam%Remifentanil
目的：探讨力月西、瑞芬太尼复合局麻在神志清楚可合作病人行V-P分流术中的应用效果。方法30例行V-P分流术患者采用力月西、瑞芬太尼复合局麻，记录患者麻醉前、穿刺颅骨、分离隧道时的平均动脉压、心率、血氧饱和度。术后评估麻醉效果。结果患者血压、心率和血氧饱和度在各记录点之间比较无明显差异(P>0.05)。27例患者麻醉效果优秀，3例患者麻醉效果良好。所有患者术中均清醒和顺利完成手术。结论力月西、瑞芬太尼复合局麻可安全用于V-P分流术，能满足手术的需要。
目的：探討力月西、瑞芬太尼複閤跼痳在神誌清楚可閤作病人行V-P分流術中的應用效果。方法30例行V-P分流術患者採用力月西、瑞芬太尼複閤跼痳，記錄患者痳醉前、穿刺顱骨、分離隧道時的平均動脈壓、心率、血氧飽和度。術後評估痳醉效果。結果患者血壓、心率和血氧飽和度在各記錄點之間比較無明顯差異(P>0.05)。27例患者痳醉效果優秀，3例患者痳醉效果良好。所有患者術中均清醒和順利完成手術。結論力月西、瑞芬太尼複閤跼痳可安全用于V-P分流術，能滿足手術的需要。
목적：탐토력월서、서분태니복합국마재신지청초가합작병인행V-P분류술중적응용효과。방법30례행V-P분류술환자채용력월서、서분태니복합국마，기록환자마취전、천자로골、분리수도시적평균동맥압、심솔、혈양포화도。술후평고마취효과。결과환자혈압、심솔화혈양포화도재각기록점지간비교무명현차이(P>0.05)。27례환자마취효과우수，3례환자마취효과량호。소유환자술중균청성화순리완성수술。결론력월서、서분태니복합국마가안전용우V-P분류술，능만족수술적수요。
Objective To investigate the application of midazolam and remifentanil combined with local anesthesia in V-P bypass. Methods Thirty patients underwent V-P bypass were administered with midazolam and remifentanil combined with local anesthesia.The MAP、HR、SPO 2 of before anesthesia、puncture skull、split tunneling in all patients were recorded.The anesthetic effect was assessed postoperation. Results No signiifcant difference in MAP、HR、SPO 2 was found among three recording time. Excellent anesthetic effect was observed in twenty-seven patients. Good anesthetic effect was observed in three patients. Conclusion Midazolam and remifentanil combined with local anesthesia can be applied in V-P bypass and satisfy surgery requirement.
