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ID:42991481
大小:88.50 KB
页数:5页
时间:2019-09-23
《脑功能区手术唤醒麻醉方法的临床研究》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、脑功能区手术唤醒麻醉方法的临床研究周声汉施冲刘中华广州军区广州总医院全军临床麻醉中心Clinicalstudyonanesthesialmethodsforawakecraniotomyofbrainfunctionalregion【Abstract】ObjectiveToexplorethemoresuitableanesthesialmethodsofawakecraniotomyforbrainfunctionalregion.,inordertoofferreferenceforselectinganesthesialmethodofawakecraniotom
2、y.MethodsSixtypatientsforawakecraniotomywererandomizedtoreceiveremifentanilandpropofoltarget-infusion(TRFgroup),manual-controlledinfusionwithpropofoltarget-infusion(MRFgroup)andintermittentfentanylwithpropofoltarget-infusion(IFgroup)accordingtodifferentanesthesialmethods,twentyrespective
3、ly.AnLMAisinsertedandventilationcontrolleduntilthetumourisexposedafterinducing,RemovaltheLMAeasytointerchargewithpatientwhenawaking,thepatientisre-anaesthetizedandtheLMAreplacedafterawaking.Judgingthefeasibilityandcontrollabilityofthreeanesthesialmethodsthroughobservingthevarityofhemodyn
4、amics,thequalityofawakingandincidenceofcomplicationduringawaken.ResultsAllpatientscompletedthesensor、motor、languagefunctiontesting.TheBPofIFgroupatawakingandbrainmappingmorethanbaseline(p<0.05),TheBPofTRFandMRFgroupatawakingandbrainmappingwasnodifferencewithbaseline,TheBPandHRofTRFgroupw
5、aslessthanMRFandIFgroupatheadpinsinsertionandskinincision(p<0.05);TheintraoperativeemergencetimeofTRF(16.6±6.4min)andMRF(16.6±6.4min)groupwaslessthanIFgroup(26.7±5.6min),p<0.05;TheOAA/Sscoresat5and10minafterawakingbetweenTRFandMRFgreaterthanIF,buttherewerenodifferencesamongthethreegroups
6、inotherstimesaboutOAA/SandVASscores;Therewerenodifferencesabouttheincidenceintraoperativecomplicationsamongthethreegroups.ConlusionsTheuseofremifentanilandpropofoltarget-infusioninconjunctionwithLMAwassucceedingtoawakecraniotomyofbrainfunctionalregion;andpossessingmoreadvantagesincontrol
7、lingdepthofanesthesiaandthequalityofrevival.,deservingtorecommendforawakecraniotomyKeywordsremifentanil,fentanyl,propofol,target-infusion,brainfunctionalregion,awakecrainotomy,intra-operativewake-up脑功能区病变或肿瘤切除常引起神经功能障碍,对于运动语言区附近的肿瘤,唤醒麻醉是术中评价患者语言能力的唯一方法[1]。目前有多种麻醉技术应用于唤醒麻醉
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