全凭静脉麻醉与静吸复合麻醉在脑动脉瘤手术中的临床观察

Clinical observation of total intravenous anesthesia combined with Intravenous Inhalation Anesthesia in cerebral aneurysm surgery

目的分析研究全凭静脉麻醉与静吸复合麻醉在脑动脉瘤手术中的临床观察。方法选取60例脑动脉瘤患者作为本次的研究对象,将其按不同的麻醉方式分为观察组(实施全凭静脉麻醉)与对照组(实施静吸复合麻醉),每组30例。记录对比两组患者术中血流动力学的稳定性、不良反应发生率、术后睁眼时间、对手术疼痛的回忆情况。结果观察组患者的术中血流动力学的稳定性显著优于对照组患者,差异具有统计学意义(P<0.05)。观察组患者的不良反应发生率为6.66%,术后睁眼时间为(20.36±2.58)min,能够回忆其手术疼痛感的例数为1例(3.33%);对照组患者的不良反应发生率为26.64%,术后睁眼时间为(30.59±1.58)min,能够回忆其手术疼痛感的例数为6例(20.00%);组间比较差异具有统计学意义(P<0.05)。结论给予行脑动脉瘤手术的患者实施全凭静脉麻醉,可显著改善患者的血流动力学,降低不良反应的发生,促进患者的预后,使患者快速恢复正常的生活,值得临床推广与应用。

Objective The study of total intravenous anesthesia and intravenous anesthesia clinical observation in cerebral aneurysm surgery.Methods60cases of cerebral aneurysm patients as the research object,according to the different ways of anesthesia were divided into observation group(total intravenous anesthesia)and control group(the implementation of static absorption anesthesia),30cases in each group.Recording stability comparison of the two groups of patients blood flow dynamics,the incidence of adverse reactions,postoperative eye opening time,memories of the pain of surgery.Results The observation group of patients with hemodynamic stability in patients was significantly better than the control group,the difference was statistically significant(P<0.05).The observation group of patients with adverse reaction rate was6.66%,postoperative eye opening time is(20.36±2.58)min,the number of cases to the memories of surgical pain in1cases(3.33%);the control group of patients with adverse reaction rate was26.64%,postoperative eye opening time is(30.59±1.58)min.The number of cases to the memories of surgical pain in6cases(20%);the differences between groups were statistically significant(P<0.05).Conclusion Cerebral aneurysm surgery patients with total intravenous anesthesia can significantly improve the hemodynamics of patients,reduce the The occurrence of adverse reactions,promote the prognosis of patients,so that patients return to normal life quickly,it is worthy of clinical promotion and application.