中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
20期
10-11,12
,共3页
颅内动脉瘤%丙泊酚中长链脂肪乳%介入栓塞术
顱內動脈瘤%丙泊酚中長鏈脂肪乳%介入栓塞術
로내동맥류%병박분중장련지방유%개입전새술
Intracranial aneurysm%Middle-long chain fatty milk of Propofol%Interventional embolization
目的：研究丙泊酚中长链脂肪乳用于颅内动脉瘤介入栓塞术的麻醉效果。方法：选取2012年1月-2013年12月在笔者所在医院神经外科接受择期介入栓塞术的颅内动脉瘤患者108例为研究对象，按照随机数字表法分为观察组56例和对照组52例。观察组患者术中麻醉维持采用丙泊酚中长链脂肪乳，对照组患者术中麻醉维持采用丙泊酚注射液(力蒙欣)。比较两组麻醉效果。结果：观察组麻醉诱导时、术中心率、MBP保持平稳，而对照组麻醉诱导时、术中心率、MBP波动较大，两组麻醉诱导和术中心率、MBP比较差异均有统计学意义(P<0.05)。观察组术毕自主呼吸时间、拔罐时间、意识恢复时间均短于对照组，OAAS评分高于对照组，两组比较差异均有统计学意义(P<0.05)。观察组并发症发生率为3.57%，对照组为17.31%，两组比较差异有统计学意义(P<0.05)。结论：丙泊酚中长链脂肪乳用于颅内动脉瘤介入栓塞术，可保持术中患者生命体征平稳，有利于患者术后自主呼吸及意识的尽快恢复。
目的：研究丙泊酚中長鏈脂肪乳用于顱內動脈瘤介入栓塞術的痳醉效果。方法：選取2012年1月-2013年12月在筆者所在醫院神經外科接受擇期介入栓塞術的顱內動脈瘤患者108例為研究對象，按照隨機數字錶法分為觀察組56例和對照組52例。觀察組患者術中痳醉維持採用丙泊酚中長鏈脂肪乳，對照組患者術中痳醉維持採用丙泊酚註射液(力矇訢)。比較兩組痳醉效果。結果：觀察組痳醉誘導時、術中心率、MBP保持平穩，而對照組痳醉誘導時、術中心率、MBP波動較大，兩組痳醉誘導和術中心率、MBP比較差異均有統計學意義(P<0.05)。觀察組術畢自主呼吸時間、拔罐時間、意識恢複時間均短于對照組，OAAS評分高于對照組，兩組比較差異均有統計學意義(P<0.05)。觀察組併髮癥髮生率為3.57%，對照組為17.31%，兩組比較差異有統計學意義(P<0.05)。結論：丙泊酚中長鏈脂肪乳用于顱內動脈瘤介入栓塞術，可保持術中患者生命體徵平穩，有利于患者術後自主呼吸及意識的儘快恢複。
목적：연구병박분중장련지방유용우로내동맥류개입전새술적마취효과。방법：선취2012년1월-2013년12월재필자소재의원신경외과접수택기개입전새술적로내동맥류환자108례위연구대상，안조수궤수자표법분위관찰조56례화대조조52례。관찰조환자술중마취유지채용병박분중장련지방유，대조조환자술중마취유지채용병박분주사액(력몽흔)。비교량조마취효과。결과：관찰조마취유도시、술중심솔、MBP보지평은，이대조조마취유도시、술중심솔、MBP파동교대，량조마취유도화술중심솔、MBP비교차이균유통계학의의(P<0.05)。관찰조술필자주호흡시간、발관시간、의식회복시간균단우대조조，OAAS평분고우대조조，량조비교차이균유통계학의의(P<0.05)。관찰조병발증발생솔위3.57%，대조조위17.31%，량조비교차이유통계학의의(P<0.05)。결론：병박분중장련지방유용우로내동맥류개입전새술，가보지술중환자생명체정평은，유리우환자술후자주호흡급의식적진쾌회복。
Objective:To study anesthetic effect of middle-long chain fatty milk of Propofol for interventional embolization of intracranial aneurysms. Method:One hundred and eight patients of intracranial aneurysm from January 2012 to December 2013 in the hospital were randomly divided into the control group of 52 cases and the treatment group of 56 cases. The observation group was given middle-long chain fatty milk of Propofol for anesthesia maintenance. The control group was given intraoperative Limengxian for anesthesia maintenance. Anesthetic effects of the two groups were compared after treatment.Result:Heart rate,MBP in observation group at anesthesia induction and intraoperatively held steady,and heart rate,MBP in the control group when at anesthesia induction and intraoperatively had more fluctuations,and the differences between the two groups were all statistically significant(P<0.05). Spontaneous breathing recovery time and extubation time,consciousness recovery time in the observation group were significantly faster than the control group(P<0.05). The complication rate of the control group was 17.31%while the observation group was 3.57%after treatment,and the difference between the two groups was statistically significant(P<0.05). Conclusion:Middle-long chain fatty milk of Propofol for embolization of intracranial aneurysms,can keep a smooth intraoperative vital signs in patients,and it is beneficial to patients with postoperative spontaneous breathing and consciousness resumed as soon as possible,which is worthy of promotion of clinical application.
