110例癫痫患者多软膜下横切术的麻醉结果分析

Anesthesia in the multiple subpial transection

目的 探讨癫痫患者多软膜下横切术的麻醉管理方法。方法 采用气管内插管静吸复合全麻。术前药予东莨菪碱、咪唑安定和度冷丁 ,全麻诱导予芬太尼、异丙酚和哌库溴胺 ,先吸入N2 O和异氟醚维持麻醉 ,去骨瓣后停止吸入异氟醚 ,改为异丙酚微量泵持续静注。结果 所有患者术中ECOG描记结果与术前进行自身对照 ,证实未受明显影响。结论 所使用的麻醉药及麻醉方法既保持了生命体征和麻醉管理的平衡 ,也未影响术中ECOG检测定位 。

Objective To study the approach of anesthesia management in the multiple subpial transaction of patients wiht epilepsy.Methods Intravenous and inhalational combined anesthesia was used in each patient.Scopolamine,midazolan and pethidine were given as premedication.Anesthesia was induced with fentayl,disoprofol,pipecuronium,and maintained with inhalation of 0.5 %～1.0% isoflurane.After bone flap was removed,the inhalation of isoflurane was replaced by the constant intravenous injection of disoprofol at the dosage of 4～6mg·kg -1 ·h -1 .Results Compared with those of preoperation the electrocorticography(ECOG)tracing results during operation were not affected obviously,and the anesthetic effects of all patients were satisfactory.Conclusion These drugs and this anesthetic method can not only maintain the balance of vital signs but also unaffect the position of ECOG detection and can be applied for the multiple subpial transaction of patients with epilepsy.