重庆医学2011，Vol.40Issue(20)：2000-2002,3.DOI:10.3969/j.issn.1671-8348.2011.20.009
瑞芬太尼复合静脉麻醉在颅内动脉瘤介入栓塞术中的应用
Contrast study of intravenous anesthesia of remifentanil in treatment of endovascular embolization of cerebral aneurysm
张咏梅 1吴嘉宾 1赵卫兵 1刘科2
作者信息
- 1. 重庆市急救医疗中心麻醉科,400014
- 2. 重庆市急救医疗中心神经外科,400014
- 折叠
摘要
Abstract
Objective To investigate the clinical value of remifentanil and propofol in treatment of endovascular embolization of cerebral aneurysm. Methods 56 patients of cerebral aneurysm, which need endovascular embolization, were randomly divided into two groups: remifentanil group and fentanyl group. Changes of haemodynamics parameter and palinesthesia were observed and recorded continuously during every period of operation. Results Compared with the value of before anesthesia, hemodynamics of two groups obviously declined in 1 minute after inserted laryngeal mask. Hemodynamics of fentanyl group significantly increased in 1 minute after inserted tube into arteria femoralis. hemodynamics of remifentanyl group significantly increased after removing laryngeal mask. The hemodynamics in 1 minute after inserted tube into arteria femoralis and removing laryngeal mask were significantly different between two groups. Recovery of anesthesia palinesthesia time were shorter in remifentanil group than those in fentanyl group. There were fewer restlessness in the remifentanil group(P＜0.05). Conclusion Remifentanil can be more efficient than fentanyl in vein anesthesia of endovascular embolization of cerebral aneurysm, including stable hemodynamics, fast metabolism and profit to early analepsia.关键词
瑞芬太尼/芬太尼/丙泊酚/颅内动脉瘤Key words
remifentanil/ fentanyl/ propofol/ cerebral aneurysm引用本文复制引用
张咏梅,吴嘉宾,赵卫兵,刘科..瑞芬太尼复合静脉麻醉在颅内动脉瘤介入栓塞术中的应用 [J].重庆医学,2011,40(20):2000-2002,3.
