喉罩复合无肌松麻醉对脑动脉瘤栓塞术应激的影响.pdfVIP

中国当代医药 2014年9月第21卷第25期 窑麻醉与镇痛 窑 喉罩复合无肌松麻醉对脑动脉瘤栓塞术应激的影响 谢海玉 李晓玲 蔡婷婷 赣南医学院第一附属医院麻醉科袁江西赣州 341000 [摘要] 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遥 方法 选择实施脑动脉瘤栓塞术的患者 80例袁将其随机分为观察组和对照组各40例袁观察组应用喉罩复合无肌松麻醉袁对照组应用气管插管联合肌松 药麻醉袁比较诱导前渊T 冤尧诱导后插管或喉罩前渊T 冤尧插管或喉罩时渊T 冤尧置入插管或喉罩 1min时渊T 冤两组患者 0 1 2 3 的心率尧平均动脉压及其血糖和皮质醇的变化情况遥 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(P0.05)袁对照组T 尧T 尧T 时间点的心率显著快于T 时间点渊P0.05冤袁平均动脉压 1 2 3 0 显著高于T 时间点渊P0.05冤袁血糖和皮质醇水平均显著高于T 时间点渊P0.05冤遥 结论 喉罩通气复合无肌松平 0 0 衡麻醉应用于脑动脉瘤栓塞术袁能显著降低患者应激反应袁维持循环功能稳定遥 [关键词] 喉罩曰肌松药曰脑动脉瘤栓塞曰应激 [中图分类号] R614 [文献标识码]A [文章编号] 1674-4721渊2014冤09渊a冤-0123-03 Effect of laryngeal mask without muscle relaxant on stress caused by cerebralaneurysmembolization XIE Hai-yu LIXiao-ling CAI Ting-ting Departmentof Anesthesiology,the FirstAffiliated Hospitalof Gannan Medical University,Ganzhou 341000,China [Abstract] 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 (T),before intubationorlaryngeal mask after induction (T),intubation orlaryngeal mask (T),placed intubation or laryn鄄 0