ETCO_2监测在颅内动脉瘤介入治疗中的合理性研究  

Study on the Rationality of ETCO_2 Monitoring in the Interventional Treatment of Intracranial Aneurysm

作　　者：蔡俊岭[1] 梁大干 胡艳敏[1] 

机构地区：[1]广东省深圳市宝安区人民医院,广东深圳518100

出　　处：《中国医学创新》2016年第13期50-53,共4页Medical Innovation of China

基　　金：2014年度宝安区科技计划社会公益(医疗卫生)类立项项目(2014024)

摘　　要：目的：探讨ETCO2监测在颅内动脉瘤介入治疗中的临床价值。方法：选取2014年7月-2015年10月本院收治的60例颅内动脉瘤介入治疗患者作为研究对象,按照入院顺序随机分为A、B、C、D四组,每组各15例,术中通过调节麻醉机潮气量及呼吸频率控制ETCO2达到每组试验要求水平,比较四组患者的术中不良反应发生情况及围术期各临床指标变化。结果：B组患者术中不良反应发生率低于其他3组,且围术期各临床指标优于其他3组,与其他组比较,比较差异均有统计学意义（P〈0.05）。结论：通过对颅内动脉瘤介入术中ETCO2水平的临床监测发现,当ETCO2水平控制在30~35 mm Hg时,有助于防止术中脑血管痉挛和维持心率血压稳定,使脑血管保持最适合的张力有利于手术操作顺利进行,为颅内动脉瘤介入治疗提供安全可靠的麻醉方法,值得临床推广应用。Objective：To investigate the clinical value of ETCO2 monitoring in the interventional treatment of intracranial aneurysm.Method：From July 2014 to October 2015,60 cases of interventional treatment of intracranial aneurysm in our hospital were selected as the research objects,they were randomly divided into A,B,C,D four groups according to the admission order,each group had 15 cases.Intraoperative ETCO2 level was controlled by the anesthesia machine tidal volume and respiratory frequency to meet the requirements of each test,the incidence of adverse reactions and the changes of clinical parameters during the perioperative period in the four groups were compared.Result：The incidence of adverse reactions in group B was lower than other three groups,and the clinical parameters during the perioperative period was better than other three groups,the differences were statistically significant（P〈0.05）.Conclusion：Through the clinical monitoring of ETCO2 level in the treatment of intracranial aneurysm,when the ETCO2 level is controued between 30 to 35 mm Hg,it can help prevent intraoperative cerebral vasospasm and maintain the stability of heart rate blood pressure,cerebral vascular remain the most suitable tension is conducive to the smooth operation,for intracranial aneurysm interventional therapy safe and reliable method of anesthesia,so it is worthy of clinical popularization and application.

关 键 词：ETCO2 颅内动脉瘤 介入治疗 麻醉 

分 类 号：R743[医药卫生—神经病学与精神病学]