颅内动脉瘤微创栓塞术临床麻醉效果研究

Clinical Effect of Anesthesia for Intracranial Aneurysm Embolization with Minimally Invasive Surgery

目的:探究颅内动脉瘤微创栓塞术的临床麻醉效果。方法:选取我院2015年5月~2016年5月收治的90例颅内动脉瘤患者进行本次临床研究。所有患者均在全麻情况下进行微创栓塞术。根据患者入院治疗时间顺序将90例患者分为对照组和观察组,每组45例。对照组患者采用吸入异氟烷进行麻醉,观察组患者采用静脉输注丙泊酚进行麻醉。对比两组患者的手术时间、术中出血量、输液量、拔管时间以及并发症发生概率(无动脉瘤破裂、脑血管痉挛、颅内动脉栓塞)。结果:观察组和对照组之间的手术时间、术中出血量、输液量、拔管时间以及并发症发生概率产生的数据差异不存在统计学意义(P>0.05)。结论:不论是吸入异氟烷还是静脉输注丙泊酚,都能够对颅内动脉瘤微创栓塞术患者进行安全的全麻维持。

Objective： To investigate the clinical effect of anesthesia for intracranial aneurysm embolization with minimally invasive surgery. Methods： Totally, 90 patients with intracranial aneurysms undergoing embolization with minimally invasive surgery were admitted and treated in our hospital from May 2015 to May 2016 as the objects of study. They were divided into test group and control group with 45 patients in each group. Patients in control group underwent isoflurane inhalation anesthesia, while patients in test group underwent propofol intravenous anesthesia. These two groups were compared in operative time, bleeding volume, fluid volume, extubation time, and complications. Results： There were no significant differences in operative time, bleeding volume, fluid volume, extubation time, and complications between two groups （P〉0.05）. Contusions： Isoflurane inhalation anesthesia or propofol intravenous anesthesia？ Both are safe anesthesia techniques to treat patients with intracranial aneurysm embolization with minimally invasive surger