颅内手术中异丙酚联合不同阿片类药物持续静脉输注的疗效比较.docVIP

颅内手术中异丙酚联合不同阿片类药物持续静脉输注的疗效比较 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：颅内手术中异丙酚联合不同阿片类药物持续静脉输注的疗效比较 1 1 资料与方法 3 2 结果 4 3 讨论 5 文2：腹腔镜联合不同药物治疗中重型子宫内膜异位症的疗效比较 7 1 资料与方法 7 2 结果 8 3 讨论 8 参考文摘引言： 9 原创性声明（模板） 10 文章致谢（模板） 11 正文 颅内手术中异丙酚联合不同阿片类药物持续静脉输注的疗效比较 文1：颅内手术中异丙酚联合不同阿片类药物持续静脉输注的疗效比较 Compare to Different Kind of Opioids Combining With Propofol as Continuous Intravenous Infusion in Intracranial Surgery 【Abstract】 Objective Observing the application of propofol combining with fentanyl, or sufentanil, remifentanil in intracranial surgery, superior or inferior. Method The patients for intracranial surgery are 75 cases, age ranges 20 to 60, no sex restriction, ASAⅡ～Ⅲ; dividing patients into three groups: fentanyl group, sufentanil group, remifentanil group. Monitoring blood flow indicato at operatio, observing waking and complicatio, evaluating VAS and OAAS grades. Results Fentanyl group on Mean Artery Pressure（MAP）, Heart Rate（HR） during opening or closing skull or extubation is significantly higher than basic evaluatio（P）, but sufentanil group and remifentanil group is lower than basic evalutio during opening or closing skull and intracranial period（P）; fentanyl group MAP, HR in every intracranial episodes is higher than sufenanil group and remifentanil group（P）, but remifentanil group is significantly lower than sufentanil group during opening skull or intracranial period（P）; pinprick reaction emergence time of sufentanil group is longest, ±（P）, but remifentanil group is shortest, ±（P）; 5 minutes after extubation, OAAS grades of fentanyl group are lowest, ± at 12h, no variance between sufentanil group and remifentanil group（P）; but VAS grades at 1h, 2h, 4h points after operatio, sufentanil group is significantly lower than fentanyl group, or remifentanil group（P）, at 12h point, at peak, but no statistic variance after 8h; PONV rate of fentanyl group is significantly higher than sufentanil group, or remifentanil group（P）. Coclusio Remifentan