颅脑手术中异丙酚复合瑞芬太尼全凭静脉麻醉对血液动力学及颅内压的影响（文化科学论文资料）.docVIP

颅脑手术中异丙酚复合瑞芬太尼全凭静脉麻醉对血液动力学及颅内压的影响（文化科学论文资料） 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：颅脑手术中异丙酚复合瑞芬太尼全凭静脉麻醉对血液动力学及颅内压的影响 1 2结论 3 文2：丙泊酚复合瑞芬太尼麻醉维持对腹部手术患者血液动力学的影响 3 1 资料与方法 4 2 结果 5 3 讨论 5 参考文摘引言： 6 原创性声明（模板） 7 正文 颅脑手术中异丙酚复合瑞芬太尼全凭静脉麻醉对血液动力学及颅内压的影响（文化科学论文资料） 文1：颅脑手术中异丙酚复合瑞芬太尼全凭静脉麻醉对血液动力学及颅内压的影响 【Abstract】ObjectiveUsingpropofolandremifentaniltotalintravenousanesthesia， underwentbrainoperation，toobservetheclinicaleffectandinfluenceonintracranialpressureandhemodynamics.Methods98casesinhospitalofWenzhoucityfrom2010MarchthisyeartoMarch2011craniocerebraloperationpatients，male58cases，female40cases，age50~68yeaold，weight39~77kg，withoutcardiacandpulmonarydisease.Injectionofdrugswereluminal0.1，atropine0.5mgbeforeoperation.ConnecttheHPtypemulti-functionmonitorafterthepatientintotheoperationroom，monitorMAP，HR，SpO2，ECG.Thepatientintherightlateraldecubitusposition，underlocalanesthesiawithL3~4subarachnoidcatheterizationtomonitorintracranialpressure(ICP).Oxygentonitrogen5min，anesthesiawasinducedwithpropofolremifentanil1ug?kg-1，2.0mg，kg-1，scoline1.5mg?kg-1，successfulintubationafteranesthesiamachinecontrolbreath，O2flow2L?min-1.Anesthesiawasmaintainedwithpropofol4.0~6.0mg?kg-1?H-1，continuousinfusionofremifentanil0.1~0.2UG?kg-1?min-1micropumpinjection，intermittentintravenousmusclerelaxantvecuroniumtomaintainanesthesia，postoperativedisableall.Respectivelybeforeanesthesiainduction，immediatelyafterintubation，skinincision，open，epidural，maintain，postoperativemonitoringandrecordingMAP，HR，ICP. ResultsafterinductionofanesthesiaandepiduralandopenintraoperativeMAP，HRwere58maleand40femalecases100%，significantlylowerthanthatbeforeanesthesia(P0.05)，butnostatisticalsignificance.ICPafterinductionofanesthesiawith58maleand40femalepatients100%thanbeforeanesthesiadecreased，toinduce，immediatelyaftekinincision，opendura，intraoperativedecreasedsignificantly(P0.05) 【Keywords】anesthesiaPropofolandremifentanilHemodynamicandintracranialpressure 1讨论 异丙酚以起效快、时效短，连续使用无明显蓄积，麻醉恢复迅速、平稳等优点，适用于神经外科麻醉，成