神经外科患者全凭静脉及静吸复合麻醉在超高场强术中磁共振的麻醉效果比较  

The compare of total intravenous anesthesia and balance anesthesia in the patient undergoing neurosurgical operation in the super high field magnetic resonance

作　　者：丁晓楠[1] 张军[1] 梁伟民[1] 

机构地区：[1]复旦大学附属华山医院麻醉科,上海200040

出　　处：《复旦学报（医学版）》2013年第3期360-362,378,共4页Fudan University Journal of Medical Sciences

摘　　要：目的探讨应用超高场强(3.0T)术中磁共振的神经外科手术中全凭静脉和静吸复合两种麻醉方式的不同麻醉效果及其临床价值。方法选择30例择期行大脑半球胶质瘤切除术的患者,随机分为全凭静脉(T)组和静吸复合(B)组,每组15例。术中监测患者生命体征、手术时间、磁共振相关成像时间与成像次数。结果 30例患者均顺利完成手术,术中未出现麻醉和高场强磁场相关的不良事件,两组患者的生命体征、手术时间、磁共振成像次数、每次成像时间及成像质量无明显差异。结论在应用超高场强术中磁共振的神经外科手术中,全凭静脉和静吸复合两种麻醉方式的麻醉效果明确,同时我们也应关注高场强磁场的相关麻醉安全管理。Objective To study the difference between total intravenous anesthesia and balance anesthesia in patients undergoing neurosurgical operation in the super high field （3. 0T） magnetic resonance and the clinical application value of two methods. Methods Thirty patients with ASA I or Ⅱ undergoing supratentorial glioma operation were randomly divided into two groups （n = 15 for each） ： total intravenous anesthesia （T） group and balance anesthesia （B） group. For each group, signs of life, operative time, frequency and duration of MRI were recorded. Results All the operations were successfully completed, and there were no adverse medical events in the procedure. There was no difference between the two groups in the recording parameters. Conclusions The effects of total intravenous anesthesia and balance anesthesia are both clear, and we should pay attention to the safety of super high field magnetic resonance.

关 键 词：麻醉 磁共振 神经外科 

分 类 号：R614.2[医药卫生—麻醉学]