不同麻醉方法在动脉瘤性脑血肿脑疝急诊探查术中的效果  

Effect of different anesthesia method on cerebral aneurysm hematoma hernia patients in emergency exploratory surgery

作　　者：蒋鹏飞[1] 杨帆[1] 张先政 

机构地区：[1]四川省遂宁市中心医院麻醉科,629000

出　　处：《检验医学与临床》2015年第10期1352-1353,共2页Laboratory Medicine and Clinic

基　　金：四川省卫生厅科研基金资助项目(120023)

摘　　要：目的对动脉瘤性脑血肿脑疝患者急诊探查的麻醉方法进行分析。方法选取2008年10月至2013年10月该院收治的动脉瘤性脑血肿脑疝患者60例,随机分为静脉组和联合组各30例。静脉组常规气管插管全身麻醉,静脉滴注丙泊酚维持麻醉;联合组常规气管插管全身麻醉,静脉滴注丙泊酚联合吸入异氟醚维持麻醉,对比两组患者的麻醉效果。结果联合组并发症、生命体征、临床治疗效果、死亡比例均明显优越于静脉组,差异有统计学意义(P<0.05)。两组患者均未发生因手术操作和麻醉措施不当导致严重不良后果及不良反应的发生。结论动脉瘤性脑血肿脑疝患者进行气管插管全身麻醉下手术治疗时,静脉滴注丙泊酚联合异氟醚吸入维持麻醉,可明显提高临床治疗效果,降低术中并发症,安全性较高。Objective To explore the effect of different anesthesia method on cerebral aneurysm hematoma hernia patients in emergency exploratory surgery. Methods A total of 60 cerebral aneurysm hematoma hernia patients were recruited in this study from October 2008 to October 2013,and divided into intravenous group and combined group randomly, 30 patients in each group. Patients in two groups all were given conventional general anesthesia and intravenous infusion propofoI anesthesia. Patients in the combined group were given isoflurane inhalation to maintain anesthesia. The anesthesia effects were compared. Results Complications, vital signs, clinical treatment, the proportion of deaths in the combined group were significant superior to the intravenous group, the differences were statistical significant （P〈0.05）. There were no serious adverse consequences and adverse reactions due to improper surgical procedures and anesthesia inappropriate measures in the two groups. Conclusion When the cerebral aneurysm hematoma hernia patients accept emergency exploratory surgery,intravenous infusion of propofol combined with isoflurane anesthesia could improve clinical outcomes and reduce the proportion of deaths, reduce surgery complica- tions significantly.

关 键 词：动脉瘤性脑血肿 脑疝 麻醉 急诊探查 

分 类 号：R732.21[医药卫生—肿瘤]