CAJ | 학술논문

目的：通过BIS监测维持一定麻醉深度，比较舒芬太尼与芬太尼在脑血管病介入治疗中的应用效果。方法：60例脑血管病介入治疗患者随机分为舒芬太尼组（ A组）及对照组芬太尼（ B组）各30例，A组采用舒芬太尼麻醉，B组芬太尼麻醉诱导后插管。通过调整七氟醚吸入量将BIS维持在50～60间观察2组学流动力学拔管时间及并发症。结果：插入和拔管前A、B 2组的MAP、HR无明显变（P＞0．05），拔管后B组的MAP、HR波动变化明显（P＞0．05），插管拔管后B组的MAP、HR波动变化明显，有5人出现呛咳体动，2组比较有显著差异（P＜0．05）；A组患者拔管时无人呛咳体动；2组术毕清醒时间B组延长。结论：和芬太尼相比，舒芬太尼均能有效抑制插管拔管时应激反应，同时舒芬太尼更有利于血流动力学稳定。
목적：통과BIS감측유지일정마취심도，비교서분태니여분태니재뇌혈관병개입치료중적응용효과。방법：60례뇌혈관병개입치료환자수궤분위서분태니조（ A조）급대조조분태니（ B조）각30례，A조채용서분태니마취，B조분태니마취유도후삽관。통과조정칠불미흡입량장BIS유지재50～60간관찰2조학류동역학발관시간급병발증。결과：삽입화발관전A、B 2조적MAP、HR무명현변（P＞0．05），발관후B조적MAP、HR파동변화명현（P＞0．05），삽관발관후B조적MAP、HR파동변화명현，유5인출현창해체동，2조비교유현저차이（P＜0．05）；A조환자발관시무인창해체동；2조술필청성시간B조연장。결론：화분태니상비，서분태니균능유효억제삽관발관시응격반응，동시서분태니경유리우혈류동역학은정。
Objective:To compare sufentanil and fentanyl application effect of interventional treatment in cerebrovascular disease main -taining anesthesia depth by the BIS monitoring .Methods:60 cases of cerebrovascular disease with interventional therapy were randomly di -vided into sufentanil group fentanyl (group A) and control group (group B), 30 cases with sufentanil anesthesia group A , group B after induction of fentanyl anesthesia intubation .Sevoflurane inhalation by adjusting the quantity of maintain the BIS between 50 to 60 observed two groups of learning flow mechanics decannulation time and complications .Results:Before the insert and tube drawing A , B two groups of MAP, hR, no significant change (P >0.05), group B after extubation MAP, hR, volatility changes significantly (P >0.05), group B after intubation tube drawing MAP , hR, volatility changes obviously , there were ten people in choking cough body move , comparing the two groups had significant difference (P <0.05);A group of patients without choking cough body move when extubation ;Two groups of procedures finish waking hours group B extension .Conclusion:Compared with fentanyl , sufentanil could effectively restrain stress reaction when intubation tube drawing , sufentanil should be more advantageous to hemodynamic stability at the same time .