异丙酚-瑞芬太尼全凭静脉麻醉在老年患者PKP术中的临床应用
摘要
经皮球囊扩张椎体后凸成型术(PKP)是目前用于治疗骨质疏松性椎体压缩骨折的新型手术,具有手术时间短、创伤小、效果好等优点。该术一般采用全麻,骨科要求缩短麻醉恢复期以早期判断有无神经损伤。但由于此类病患者多为老年患者.术前合并症多,术后恢复缓慢。如何使患者平稳度过手术期并迅速恢复.是麻醉医生和骨科医生共同关注的焦点。本研究的重点:对比观察三种麻醉方案在PKP术中的应用。
出处
《浙江创伤外科》
2010年第5期692-693,共2页
Zhejiang Journal of Traumatic Surgery
参考文献6
-
1余淑珍,刘保江.瑞芬太尼的药理学、临床研究和应用进展[J].国外医学(麻醉学与复苏分册),2004,25(6):356-358. 被引量:120
-
2Schwieler L,Delbro DS,Engberg G,et al.The anaesthetic agent propofol interacts with GABA receptors:am electrophysiological study in rat[J].Life Sci,2003,72(24):2793-2801.
-
3Takamatsu I,Sekinuchi M,Wada K,et al.Propofol-mediated impairment of CA1 long-term potentiation in mouse hippocampal slices[J].Neurosci Lett,2005,389(3):129-132.
-
4Criswell HE,Ming Z,Pleasant N,et al.Macrokinetic analysis of blockade of NMDA-gated Currents by substituted alcohols,alkanes and ethers[J].Brain Res,2004,1015(1-2):107-113.
-
5Naruo H,Onizuka S,Prince D,et al.Sevoflurane blocks cholinergic synaptic transmission postsynaptically but does not affect short-term potentiation[J].Anesthesiology,2005,102(5):920-928.
-
6Crosby C,Culley DJ,Baxter MG,et al.Spatial memory performance 2 weeks after general anesthesia in adult rats[J].Anesth Analg,2005,102(5):1389-1392.
二级参考文献19
-
1David S. Hemodynamics and emergence profie of remmifentanil versus fentanyl prospectively compared in a large population of surgical patients. Survey of Anesthesiology,2002,46(4): 207-208.
-
2Enrique C, Antonio P, Pedro A, et al. A comparison of two constant-dose continuous infusion of remifentanil for severe postoperative pain. Anesthesia & Analgesia, 2001,92(3) :715-719.
-
3Stefan S, Matthew C, Gavin K. Lack of rapid development of opioid tolerance during alfentanil and remifentanil infusion for postoperative pain. Anesthesia & Analgesia, 1999,89(3): 753.
-
4Penny KJ, Randall S, James S. The use of remifentanil infusion to allow intraoperative awakening for intentional fracturing of the anterior cervical spine. Anesthesia & Analgesia, 1999,89(4): 1059-1062.
-
5Danelli G,Berti M, Casati A, et al. Spinal block or total intravenous anaesthesia with propfol and remifentanil for synaecological outpatient procedures. European Journal of Anaesthesiology,2002, 19(8) :594-599.
-
6Jones R, Pegrum A, Stacey RG. Patient-controlled analgesia using remifentanil in the parturient with thrombocytopaenia. Anaesthesia, 1999,54(5):461-465.
-
7Victor C, Gilles G, Gilles G, et al. Target-Controlled Infusion for Remifentanil in Vascular Patients Improves Hemodynamics and Decreases Remifentanil Requirement. Anesthesia & Analgesia, 2003,96( 1 ): 33-38.
-
8Servin F, Desmonts JM, Watkins WD. Remifentanil as an analgesic adjunct in local/regional anesthesia and in monitored anesthesia care. Anesth Analy, 1999,89(4) :28-32.
-
9Myre K, Raeder J, Rostrup M, et al. Catecholamine release during laparoscopic fundoplication with high and doses of remifentanil. Acta Anaestheiol Scand,2003,47(3): 267-273.
-
10Barvais L, Engelman E, Eba JM, et al. Effect site concentration of remifentanil and pupofol to noxious stimulation. British Journal of Anaesthesia,2003,91 (3) :347-352.
共引文献119
-
1杨凤泉,赵子良,董庆龙.瑞芬太尼在经尿道输尿管镜碎石术的应用[J].实用医技杂志,2007,14(15):2022-2023. 被引量:3
-
2李涛,崔爱学,刘晓甲.瑞芬太尼复合麻醉在无痛胃镜检查中的应用[J].河南外科学杂志,2009,15(4):69-70. 被引量:2
-
3张建辉,姜丽华,李黎.雷米芬太尼用于婴儿全凭静脉麻醉可行性观察[J].中国误诊学杂志,2005,5(7):1265-1266.
-
4林洪启,韩冬梅,孟凡民.瑞芬太尼对肝功能障碍患者全麻苏醒的观察[J].中国误诊学杂志,2005,5(9):1668-1669.
-
5彭英忠,赵诚,梁春齐,谷海燕.瑞芬太尼、芬太尼增强丙泊酚在无痛人流术中麻醉效果的对比观察[J].实用医学杂志,2005,21(24):2798-2799. 被引量:13
-
6许春雷.小剂量瑞芬太尼在硬膜外麻醉下前列腺电切术中的应用[J].临床和实验医学杂志,2006,5(4):376-377. 被引量:1
-
7周辉,龚松林,谭贤刚.不同剂量瑞芬太尼对气管插管血流动力学的影响[J].医学临床研究,2006,23(5):760-761. 被引量:1
-
8黄桂华.瑞芬太尼对肝功能障碍患者全麻苏醒的临床观察[J].遵义医学院学报,2006,29(1):68-69.
-
9宁捷,冯燕春,何艺.瑞芬太尼复合异丙酚静脉全麻在老年病人上腹部手术中的应用[J].右江民族医学院学报,2006,28(3):410-411. 被引量:16
-
10唐群新,田国刚,朱少飞.异丙酚复合瑞芬太尼用于神经内镜辅助锁孔手术治疗颅内深部病变的麻醉[J].海南医学,2006,17(8):120-120. 被引量:1
-
1赵锦,孙银华.1例经皮球囊扩张治疗主动脉缩窄的护理[J].天津护理,1996,4(3):99-100.
-
2张卫华.全身麻醉的护理配合[J].临床合理用药杂志,2014,7(35):161-162. 被引量:2
-
3黄碧玲,潘丽英.椎体后凸成型术治疗胸腰椎骨质疏松性骨折的护理[J].医学理论与实践,2010,23(1):107-108. 被引量:1
-
4张永珍,林帆.老年妇科肿瘤患者术前合并症的优质护理[J].中国医药指南,2014,12(31):353-354. 被引量:1
-
5张瑞丽.老年病人经皮椎体后凸成形术合并症与术中并发症的护理管理[J].全科护理,2013,11(28):2618-2619.
-
6覃月彩.经皮椎体后凸成形术治疗新鲜椎体压缩性骨折的护理[J].微创医学,2009,4(6):707-709. 被引量:1
-
7宋岩,李冀军,张壹言,陈凤琨,姚凤华,黄党生,罗北捷.血液透析合并冠心病患者球囊扩张及支架治疗的可行性及疗效[J].中华老年多器官疾病杂志,2005,4(1):58-59. 被引量:5
-
8刘晓会.椎体后凸成形术治疗老年性骨质疏松性脊柱压缩性骨折的护理体会[J].中国卫生标准管理,2016,7(8):188-190. 被引量:8
-
9袁甜,陈莉莉,蔡洁.多节段经皮球囊扩张椎体后凸成形术术后病人的护理[J].成都医学院学报,2012,7(02Z):130-130.
-
10陆小丽.妇科恶性肿瘤手术患者术前合并症与术后并发症的观察及护理[J].中国伤残医学,2014,22(13):241-242. 被引量:1