中国实用神经疾病杂志Issue(7)：40-41,42,3.
瑞芬太尼对重型颅脑损伤患者脑氧代谢及脑血流的影响
Research on the effect of remifentanil on cerebral oxygen metabolism and cerebral blood flow of patients with severe brain injury
王言武1
作者信息
- 1. 湖北襄阳市铁路中心医院麻醉科 襄阳 441100
- 折叠
摘要
Abstract
Objective To investigate the effect of remifentanil on cerebral oxygen metabolism and cerebral blood flow of patients with severe brain injury.Methods Retrospective analysis of the clinical data of the 64 cases with severe head injury ad-mitted to our hospital was processed. According to the anesthetic drugs ,64 cases were divided into treatment group and control group ,the control group was treated with fentanyl for anesthesia ,the treatment group was treated with remifentanil for anes-thesia. Cerebral oxygen metabolism and hemodynamic indexes of the two groups before anesthesia and after anesthesia for 10min were compared.Results Before anesthesia ,brain oxygen metabolism and hemodynamic parameters of the two groups were not significantly different ,P>0.05 ;10 min after anesthesia ,CERO2 of the treatment group was significantly higher than that of the control group ,CjvO2 ,Da-jvO2 are significantly lower than that of the control group ,P<0.05;Qmean ,Wv of the treatment group were significantly higher than those of the control group ;DR was significantly lower than that of the control group ,P<0.05.Conclusion Remifentanil anesthesia for patients with severe head injury surgery can improve cerebral oxygen metabolism and cerebral blood flow ,has high security.关键词
瑞芬太尼/重型颅脑损伤/脑氧代谢Key words
Remifentanil/Severe brain injury/Cerebral oxygen metabolism分类
医药卫生引用本文复制引用
王言武..瑞芬太尼对重型颅脑损伤患者脑氧代谢及脑血流的影响[J].中国实用神经疾病杂志,2014,(7):40-41,42,3.
