中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
25期
123-125
,共3页
喉罩%肌松药%脑动脉瘤栓塞%应激
喉罩%肌鬆藥%腦動脈瘤栓塞%應激
후조%기송약%뇌동맥류전새%응격
Laryngeal mask%Muscle relaxant%Cerebral aneurysm embolism%Stress
目的：探讨喉罩复合无肌松麻醉对脑动脉瘤栓塞术应激的影响。方法选择实施脑动脉瘤栓塞术的患者80例，将其随机分为观察组和对照组各40例，观察组应用喉罩复合无肌松麻醉，对照组应用气管插管联合肌松药麻醉，比较诱导前(T0)、诱导后插管或喉罩前(T1)、插管或喉罩时(T2)、置入插管或喉罩1 min时(T3)两组患者的心率、平均动脉压及其血糖和皮质醇的变化情况。结果观察组麻醉诱导期间心率和平均动脉压及血糖和皮质醇变化差异无统计学意义(P>0.05)，对照组T1、T2、T3时间点的心率显著快于T0时间点(P<0.05)，平均动脉压显著高于T0时间点(P<0.05)，血糖和皮质醇水平均显著高于T0时间点(P<0.05)。结论喉罩通气复合无肌松平衡麻醉应用于脑动脉瘤栓塞术，能显著降低患者应激反应，维持循环功能稳定。
目的：探討喉罩複閤無肌鬆痳醉對腦動脈瘤栓塞術應激的影響。方法選擇實施腦動脈瘤栓塞術的患者80例，將其隨機分為觀察組和對照組各40例，觀察組應用喉罩複閤無肌鬆痳醉，對照組應用氣管插管聯閤肌鬆藥痳醉，比較誘導前(T0)、誘導後插管或喉罩前(T1)、插管或喉罩時(T2)、置入插管或喉罩1 min時(T3)兩組患者的心率、平均動脈壓及其血糖和皮質醇的變化情況。結果觀察組痳醉誘導期間心率和平均動脈壓及血糖和皮質醇變化差異無統計學意義(P>0.05)，對照組T1、T2、T3時間點的心率顯著快于T0時間點(P<0.05)，平均動脈壓顯著高于T0時間點(P<0.05)，血糖和皮質醇水平均顯著高于T0時間點(P<0.05)。結論喉罩通氣複閤無肌鬆平衡痳醉應用于腦動脈瘤栓塞術，能顯著降低患者應激反應，維持循環功能穩定。
목적：탐토후조복합무기송마취대뇌동맥류전새술응격적영향。방법선택실시뇌동맥류전새술적환자80례，장기수궤분위관찰조화대조조각40례，관찰조응용후조복합무기송마취，대조조응용기관삽관연합기송약마취，비교유도전(T0)、유도후삽관혹후조전(T1)、삽관혹후조시(T2)、치입삽관혹후조1 min시(T3)량조환자적심솔、평균동맥압급기혈당화피질순적변화정황。결과관찰조마취유도기간심솔화평균동맥압급혈당화피질순변화차이무통계학의의(P>0.05)，대조조T1、T2、T3시간점적심솔현저쾌우T0시간점(P<0.05)，평균동맥압현저고우T0시간점(P<0.05)，혈당화피질순수평균현저고우T0시간점(P<0.05)。결론후조통기복합무기송평형마취응용우뇌동맥류전새술，능현저강저환자응격반응，유지순배공능은정。
Objective To explore the effect of laryngeal mask without muscle relaxant on stress caused by cerebral aneurysm embolization. Methods 80 patients who would received cerebral aneurysm embolization were selected and randomly divided into observation group and control group,with 40 cases in each group.Laryngeal mask without muscle relaxant was given to the observation group,and tracheal intubation combined with muscle relaxant was given to the control group.Changes of heart rate,average arterial pressure,blood sugar and cortisol at the time of before induction (T0),before intubation or laryngeal mask after induction (T1),intubation or laryngeal mask (T2),placed intubation or laryn-geal mask 1 min (T3) of the two groups were compared. Results Differences of the changes of heart rate,average arterial pressure,blood sugar and cortisol during anesthesia induction in the observation group were not significant (P>0.05).The heart rate at T1,T2 and T3 in the control group was faster than that at T0 (P<0.05),and average arterial pressure was high-er than that at T0 (P<0.05).Levels of blood sugar and cortisol at T1,T2 and T3 in the control group were higher than those at T0 (P<0.05). Conclusion Laryngeal mask without muscle relaxant applied in cerebral aneurysm embolization can sig-nificantly decrease the patients’stress and maintain stable circulatory functions.
