CAJ | 학술논문

目的：对动脉瘤性脑血肿脑疝患者急诊探查的麻醉方法进行分析。方法选取2008年10月至2013年10月该院收治的动脉瘤性脑血肿脑疝患者60例，随机分为静脉组和联合组各30例。静脉组常规气管插管全身麻醉，静脉滴注丙泊酚维持麻醉；联合组常规气管插管全身麻醉，静脉滴注丙泊酚联合吸入异氟醚维持麻醉，对比两组患者的麻醉效果。结果联合组并发症、生命体征、临床治疗效果、死亡比例均明显优越于静脉组，差异有统计学意义（P＜0．05）。两组患者均未发生因手术操作和麻醉措施不当导致严重不良后果及不良反应的发生。结论动脉瘤性脑血肿脑疝患者进行气管插管全身麻醉下手术治疗时，静脉滴注丙泊酚联合异氟醚吸入维持麻醉，可明显提高临床治疗效果，降低术中并发症，安全性较高。
목적：대동맥류성뇌혈종뇌산환자급진탐사적마취방법진행분석。방법선취2008년10월지2013년10월해원수치적동맥류성뇌혈종뇌산환자60례，수궤분위정맥조화연합조각30례。정맥조상규기관삽관전신마취，정맥적주병박분유지마취；연합조상규기관삽관전신마취，정맥적주병박분연합흡입이불미유지마취，대비량조환자적마취효과。결과연합조병발증、생명체정、림상치료효과、사망비례균명현우월우정맥조，차이유통계학의의（P＜0．05）。량조환자균미발생인수술조작화마취조시불당도치엄중불량후과급불량반응적발생。결론동맥류성뇌혈종뇌산환자진행기관삽관전신마취하수술치료시，정맥적주병박분연합이불미흡입유지마취，가명현제고림상치료효과，강저술중병발증，안전성교고。
Objective To explore the effect of different anesthesia method on cerebral aneurysm hematoma hernia patients in emergency exploratory surgery .Methods A total of 60 cerebral aneurysm hematoma hernia pa‐tients were recruited in this study from October 2008 to October 2013 ,and divided into intravenous group and com‐bined group randomly ,30 patients in each group .Patients in two groups all were given conventional general anesthesia and intravenous infusion propofol anesthesia .Patients in the combined group were given isoflurane inhal ation to maintain anesthesia .The anesthesia effects were compared .Results Complications ,vital signs ,clinical treatment ,the proportion of deaths in the combined group were significant superior to the intravenous group ,the differences were statistical significant (P<0 .05) .There were no serious adverse consequences and adverse reactions due to improper surgical procedures and anesthesia inappropriate measures in the two groups .Conclusion When the cerebral aneu‐rysm hematoma hernia patients accept emergency exploratory surgery ,intravenous infusion of propofol combined with isoflurane anesthesia could improve clinical outcomes and reduce the proportion of deaths ,reduce surgery complica‐tions significantly .