国际医药卫生导报2010，Vol.16Issue(7)：838-841,4.DOI:10.3760/cma.j.issn.1007-1245.2010.07.028
瑞芬太尼联合七氟醚控制性降压在脊椎手术中的应用
Application of Controlled-hypotension by Combination of Remifentanil and Sevoflurane in Patients Undergoing Spinal Surgery
摘要
Abstract
Objective To observe the clinical effect of controlled-hypotension by comhination of Remifentanil and Sevoflurane in patients undergoing spinal surgery.Mtthoda 40 cases of ASA Ⅰ～Ⅱpatients who received surgery spinal surgery were chosen,and randomized into two groups:Remifentanil group(Ⅰ group)and Glonoine group(Ⅱ group),each 20 people.All patients received endotracheal anesthesia and inhale Sevoflurane to maintain the anesthesia.Implemented the controlled-hypotension before skin exciding,adjusted the dosage of Remifentanil and Glonoine and maintain the MABP[mean arterial blood pressure)at 60～65mmHg during the operation,and stop the controlled-hypotension at the end of the operations.Recorded the two group's MAP,HR,CVP,the number of spinal segment,operation time,the amount of surgical bleeding,and the time of vivification.Results two groups'patient can achieve the MAP target after implementing the controlled-hypotension.The HR slowed down in Ⅰ group and increased in Ⅱgroup during the time of controlled-hypotension.Two groups'CVP were lower than the baseline,and the Ⅱgroup were lower than the Ⅰ group.After stopping controlled-hypotension,the BP get back to the baseline10min later in the Ⅰ group,while it still lower than the baseline in the Ⅱ group 20min later.Conclusion The controlled-hypotension by combination of Remifentanil and Sevoflurane in patients undergoing spinal surgery has good results.In compare with Glonoine,the Remifentanil has the advantage of less bleeding and rapid BP recovery.关键词
脊椎手术/控制性降压/瑞芬太尼/七氟醚/硝酸甘油Key words
Spinal surgery/Controlled-hypotension/Remifentanil/Sevoflurane/Glonoine引用本文复制引用
冯肇洪,陈永回,梁健群,何惠娇..瑞芬太尼联合七氟醚控制性降压在脊椎手术中的应用[J].国际医药卫生导报,2010,16(7):838-841,4.
