丙泊酚与舒芬太尼联用在脑动脉瘤栓塞术中应用效果分析.docVIP

丙泊酚与舒芬太尼联用在脑动脉瘤栓塞术中的应用效果分析 　　[摘要]目的 探?丙泊酚与舒芬太尼联用在脑动脉瘤栓塞术中的应用效果。方法 选择我院2016年3月～2017年3月收治的86例经数字减影血管造影术（DSA）行脑动脉瘤栓塞术的患者，按照麻醉方式的不同分为观察组和对照组，各43例。对照组采用丙泊酚麻醉，观察组采用丙泊酚与舒芬太尼联用麻醉，比较两组患者的麻醉效果。结果 两组患者手术均较成功，两组麻醉前（T0）、给予右美托咪定或0.9%氯化钠注射液注射前（T1）的MAP、HR比较，差异无统计学意义（P0.05）；观察组插管时（T2）、拔管时（T3）、夹闭时（T4）的MAP、HR低于对照组，差异有统计学意义（P0.05）。结论 丙泊酚与舒芬太尼联用对行脑动脉瘤栓塞术患者有较显著的麻醉效果，能够让患者保持较稳定的MAP、HR，可有效减少患者因为手术各项操作所产生的应激反应，以更好地保障手术顺利实施，且对患者机体的损伤较小，不会延长患者自主呼吸、意识恢复时间，安全性较高，能够最大程度地提高治疗效果，值得推广应用。 　　[关键词]丙泊酚；舒芬太尼；脑动脉瘤栓塞术；麻醉效果 　　[中图分类号] R614.2+4 [文献标识码] A [文章编号] 1674-4721（2017）09（b）-0114-03 　　Application effect analysis of Propofol combined with Sufentanil in cerebral aneurysm embolization operation 　　LI Peng LIU Huan 　　Department of Anesthesia，Xiangya Pingkuang Cooperative Hospital in Jiangxi Province，Pingxiang 337000，China 　　[Abstract]Objective To explore the application effect of Propofol combined with Sufentanil in cerebral aneurysm embolization operation.Methods From March 2016 to March 2017，86 patients undergone cerebral aneurysm embolization operation with digital subtraction angiography （DSA） treated in our hospital were selected.According to different anesthesia methods，they were divided into the observation group （n=43） and control group （n=43）.In the control group，only Propofol for anesthesia was used，while in the observation group，Propofol combined with Sufentanil for anesthesia was applied.The anesthetic effect between the two groups was compared.Results Surgery was successful in all participants.There was no statistical difference in mean arterial pressure （MAP） and heart rate （HR） before anesthesia （T0） or before injection of Dexmedetomidine or 0.9% sodium chloride （T1） between the two groups （P0.05）.In the observation group，MAP and HR were lower in intubation （T2），extubation （T3），and clipping （T4） compared with those in the control group with statistical differences （P0.05）.Conclusion Combination of Propofol and Sufentanil in patients performed with cerebral aneurysm embolization opera