CAJ | 학술논문

目的观察丙泊酚复合舒芬太尼在经DSA行脑动脉瘤栓塞术的麻醉效果,探讨其临床适用性.方法选择ASAⅠ~Ⅱ级需在全麻下行脑动脉瘤栓塞术患者56例,分两组各28例,实验组采用丙泊复合舒芬太尼麻醉经DSA行脑动脉瘤栓塞术,对照组给予丙泊酚持续泵注.两组麻醉诱导大致相同:静脉注射丙泊酚1.5~2 mg/kg、阿曲库铵0.15 mg/kg、芬太尼0.1 mg;麻醉维持均持续泵注丙泊酚0.5 mL/(kg·h)和阿曲库铵0.1 mg/(kg·h),而实验组复合舒芬太尼0.15~0.7μg/(kg·h)间断静脉注射.记录两组患者在麻醉诱导前后、股动脉置管后、术毕时的平均动脉压、心率以及呼吸和意识恢复时间.结果两组均手术顺利,实验组在术中的血压和心率变化情况均较对照组低,差异有统计学意义(P<0.05),两组术毕后呼吸和意识恢复时间无明显差别,但实验组患者在术毕时拔除气管导管前后较对照组无明显燥动且各生命体征较平稳.结论丙泊酚复合舒芬太尼在经DSA行脑动脉瘤栓塞术中有较为满意的麻醉效果,适合临床推广应用.
목적관찰병박분복합서분태니재경DSA행뇌동맥류전새술적마취효과,탐토기림상괄용성.방법선택ASAⅠ~Ⅱ급수재전마하행뇌동맥류전새술환자56례,분량조각28례,실험조채용병박복합서분태니마취경DSA행뇌동맥류전새술,대조조급여병박분지속빙주.량조마취유도대치상동:정맥주사병박분1.5~2 mg/kg、아곡고안0.15 mg/kg、분태니0.1 mg;마취유지균지속빙주병박분0.5 mL/(kg·h)화아곡고안0.1 mg/(kg·h),이실험조복합서분태니0.15~0.7μg/(kg·h)간단정맥주사.기록량조환자재마취유도전후、고동맥치관후、술필시적평균동맥압、심솔이급호흡화의식회복시간.결과량조균수술순리,실험조재술중적혈압화심솔변화정황균교대조조저,차이유통계학의의(P<0.05),량조술필후호흡화의식회복시간무명현차별,단실험조환자재술필시발제기관도관전후교대조조무명현조동차각생명체정교평은.결론병박분복합서분태니재경DSA행뇌동맥류전새술중유교위만의적마취효과,괄합림상추엄응용.
Objective To observe the effect of propofol compound sufentanil in line by DSA embolization of cerebral aneurysms anesthetic effect, to investigate the clinical applicability. Methods Choose ASAⅠ-Ⅱ level should be in general anesthesia descending cerebral aneurysm embolization 56 patients, divided into two groups and an example, while the study group with c berth composite sufentanil anesthesia by DSA line cerebral aneurysm embolization, control group give propofol for pump injection. Two groups of anesthesia induction roughly the same:intravenous propofol 1.5~2 mg/kg, concentration-dependent 0.15 mg/kg, fentanyl 0.1 mg, Maintain anesthesia are continuous pump note propofol 0.5 mL/(kg·h), and concentration-dependent 0.1 mg/(kg·h), and the composite sufentanil 0.15~0.7 μg/(kg·h) intermittent intravenous injection. Record two groups of patients before and after the anesthesia induction and femoral artery catheter, operation after finished the mean arterial pressure, and heart rate and breathing and consciousness recovery time. Results Two groups are operation smoothly, and the removal of blood pressure and heart rate changes than control group is low, the difference was statistically significant (P<0.05), two groups of operation after finish breathing and consciousness recovery time no significant difference, but the operation in patients with when you remove the endotracheal tube and a control group no significant dryness dynamic and the vital signs are stable. Conclusion Propofol compound sufentanil in the DSA line cerebral aneurysm embolization in a more satisfactory anesthetic effect, suitable for clinical application.