颅内肿瘤患者手术实施瑞芬太尼复合七氟醚或异丙酚麻醉效果观察被引量：3

在线阅读下载PDF

导出

摘要目的:探讨颅内肿瘤患者手术实施瑞芬太尼复合七氟醚或异丙酚麻醉的临床效果。方法:收集60例颅内肿瘤患者的临床资料。结果:观察组血流动力学各项指标不同时间点均未发生明显的改变(P>0.05),较之对照组存在统计学差异(P<0.05);两组麻醉时间经比较差异无统计学意义(P>0.05);观察组的清醒拔管时间、住院时间显著短于对照组(P<0.05)。结论:颅内肿瘤患者手术实施瑞芬太尼复合异丙酚麻醉可以维持稳定的血流动力学状态,且清醒更迅速。

作者陈军民陈蕾蕾张建华

机构地区东阳市人民医院

出处《中国高等医学教育》 2015年第9期133-134,共2页 China Higher Medical Education

关键词颅内肿瘤瑞芬太尼七氟醚异丙酚麻醉

分类号 R614 [医药卫生—麻醉学] R739.4 [医药卫生—肿瘤]

引文网络
相关文献

参考文献2

1普隽,陈巍,王亚楠,夏建华,刘虎.异丙酚或七氟醚联合瑞芬太尼靶控输注对脑组织氧代谢影响的对比研究[J].第二军医大学学报,2014,35(7):804-807. 被引量：18
2周南,赵芳坤,周锦.右美托咪啶对老年颅内肿瘤手术患者麻醉诱导期血流动力学和脑电双频指数的影响[J].中国医科大学学报,2014,43(9):818-820. 被引量：23

二级参考文献26

1Daif A A,Hassan Y M,Ghareeb N A,Othman M M, Mohamed S A. Cerebral effect of acute normovolemic hemodilution during brain tumor resection[J]. J Neuro- surg Anesthesiol, 2012,24 : 19-24.
2Schifilliti D, Grasso G, Conti A, Fodale V. Anaesthetic- related neuroprotection., intravenous or inhalational a- gents? [J]. CNS Drugs,2010,24 : 893-907.
3Kaisti K K, Langsjo J W, Aalto S, Oikonen V, Sipila H, Teras M, et al. Effects of sevoflurane, propofol, and ad- junct nitrous oxide on regional cerebral blood flow,oxy- gen consumption,and blood volume in humans[J]. An- esthesiology, 2003,99 : 603-613.
4Stocchetti N, Roncati Zanier E, Canavesi K, Magnoni S, Protti A, Longhi L. Cerebral oxygen consumption and ischemia in traumatic brain injury[J]. Minerva Anest- esiol, 2004,70 : 207-211.
5El Beheiry H. Protecting the brain during neurosurgical procedures : strategies that can work[J]. Curt Opin An- aesthesiol, 2012,25 : 548-555.
6Nakajima T, Kuro M, Hayashi Y, Kitaguchi K, Uchida O,Takaki O. Clinical evaluation of cerebral oxygen bal- ance during cardiopulmonary bypass:on-line continuous monitoring of jugular venous oxyhemoglobin saturation [J]. Anesth Analg, 1992,74 : 630-635.
7Highton D, Panovska-Griffiths J,Smith M, Elwell C E. Mathematical modelling of near-infrared spectroscopy signals and intracranial pressure in brain-injured pa- tients[J]. Adv Exp Med Biol, 2013,789:345-351.
8Zabolotskikh I B, Mindiiarov A Iu, Babakov A S, Konareva T I. Intracranial pressure and jugular venous oxygenation influence on outcome in patients with se- vere traumatic brain injury[J]. Anesteziol Reanimatol, 2011,4:50-55.
9Moppett I K, Hardman J G. Modeling the causes of variation in brain tissue oxygenation[J]. Anesth Analg, 2007,105 : 1104-1112.
10Robertson C S, Narayan R K, Gokaslan Z L, Pahwa R, Grossman R G, Caram P Jr, et al. Cerebral arteriove- nous oxygen difference as an estimate of cerebral blood flow in comatose patients [J]. J Neurosurg, 1989,70 : 222-230.