丙泊酚与瑞芬太尼复合吸入麻醉在颅内动脉瘤夹闭术中的临床应用  

Experiences of intravenous-inhalation anesthesia in intracranial

作　　者：艾永凯[1] 肖建刚[2] 张先杰[1] 韩佳[1] 周裕凯[1] 

机构地区：[1]德阳市人民医院麻醉科,四川德阳618000 [2]中江县人民医院麻醉科,四川中江618100

出　　处：《西部医学》2013年第10期1505-1507,共3页Medical Journal of West China

摘　　要：目的探讨丙泊酚、瑞芬太尼复合吸入麻醉在颅内动脉瘤夹闭术中应用的临床意义。方法选择52例颅内动脉瘤行夹闭术的患者,采用丙泊酚、瑞芬太尼复合异氟醚或七氟醚,术中间断注射顺式阿曲库铵,并持续监测平均动脉压(MAP)、中心静脉压(CVP)、心率(HR)、心电图(ECG)、脉搏、血氧饱和度(SPO2)和呼气末二氧化碳分压(PetCO2)。结果 52例手术全部实施控制性降压麻醉,51例实施动脉瘤颈夹闭术,1例实施动脉瘤包裹术。术毕13例手术室内拔除气管内导管,其余均未清醒带管回ICU或神经外科ICU。结论丙泊酚、瑞芬太尼复合吸入麻醉诱导迅速,维持平衡好,患者对气管导管耐受性好。适用于颅内动脉瘤夹闭术的麻醉。Objective To investigate the effect of intravenous-inhalation anesthesia with propofol-remifentanil and sevofluraneon intracranial aneurysm surgery. Methods 52 patients of intracranial aneurysm surgery were adopted intra- venous-inhalation anesthesia with propofol-remifentanil and sevoflurane, injected cisatracurium during operations. It was necessary to monitor MAP, CVP, HR, ECG, SPO2, PetCO2 in all cases. Results 51 patients with clipping and 1 wrapping intracranial aneurysm were controlled hypotension with propofol-remifentanil and sevoflurane. The patients were treated continuously in ICU or neurosurgical ICU with endotracheal tube in postoperative period, except 13 in general ward after extubated. Conclusion Intravenous-inhalation anesthesia with propofol-remifentanil and sevoflurane is feasible and safe in intracranial aneurysm surgery.

关 键 词：瑞芬太尼 丙泊酚 异氟醚或七氟醚 静吸复合麻醉 颅内动脉瘤夹闭术 

分 类 号：R614.21[医药卫生—麻醉学]