CAJ | 학술논문

目的：对比靶控输注舒芬太尼和维库溴铵静脉麻醉用于神经外科手术的麻醉效果。方法选取2012-01-2013-12我院收治并接受神经外科择期手术的患者46例，随机等分为S组与V组，分别采用舒芬太尼靶控麻醉和维库溴铵静脉麻醉，对麻醉效果及并发症情况进行评估。结果 S组与V组麻醉前后 HR、CVP、SBP及DBP均明显降低（P＜0.05）。与V组比较，S组拔管时间明显缩短，VAS评分明显提高，并发症发生率明显降低。结论在神经外科手术中，舒芬太尼靶控麻醉较维库溴铵静脉麻醉具有更佳麻醉效果和较少的并发症，适合临床应用。
목적：대비파공수주서분태니화유고추안정맥마취용우신경외과수술적마취효과。방법선취2012-01-2013-12아원수치병접수신경외과택기수술적환자46례，수궤등분위S조여V조，분별채용서분태니파공마취화유고추안정맥마취，대마취효과급병발증정황진행평고。결과 S조여V조마취전후 HR、CVP、SBP급DBP균명현강저（P＜0.05）。여V조비교，S조발관시간명현축단，VAS평분명현제고，병발증발생솔명현강저。결론재신경외과수술중，서분태니파공마취교유고추안정맥마취구유경가마취효과화교소적병발증，괄합림상응용。
Objective To investigate the effectiveness comparison of sufentanil target controlled infusion (TCI) and vecu-ronium bromide intravenous anesthesia in neurosurgery.Methods 46 neurosurgery patients undergoing elective surgery in our hospital from Jan. 2012 to Dec. 2013 were randomly divided into the S group (n= 23 ,treated with sufentanil TCI ) and V group (n= 23 ,treated with vecuronium bromide intravenous anesthesia ). The anesthesia effects and complications of two groups were compared.Results The HR ,CVP ,SBP and DBP of two groups were significantly decreased (P<0.05) before and after anesthesia. Compared with the V group ,there were shorter decannulation time ,higher VAS score and less complica-tions in the S group.Conclusion Sufentanil TCI has better anesthesia effects and less complications in neurosurgery ,which is worthy of clinical application.