脑血管病患神经介入治疗的麻醉管理

Anesthesia Management of Patients with Cerebral Vascular Disease

目的进一步探究脑血管病患者神经介入治疗的麻醉管理方法。方法根据该院2013年3月—2015年3月所收治的422例脑血管疾病行神经介入治疗病患的临床治疗资料,采用随机分组方式将全部患者分为管理组(优化麻醉剂使用和管理方法)和对照组(常规麻醉剂使用和管理方法),每组患者均为211人,对比两组患者治疗效果、麻醉解除时间等临床指标。结论对比两组患者手术时间、苏醒时间、治疗总有效以及血压回升平稳度、反跳性高血压、阵痛效果、血压控制效果等临床指标,管理组均优于对照组其对比结果,差异有统计学意义(P<0.05)。结果对于脑血管疾病行神经介入治疗病患良好的麻醉管理对策不仅能够起到理想的治疗辅助作用,更能确保患者手术状态、减少麻醉剂使用过程中的不良效果,提高神经外科医护工作者的药物规范使用意识,应于临床重点推广。

Objective In order to further explore the anesthetic management of patients with cerebral vascular disease in the treatment of neurological intervention. Methods According to the clinical data of 422 patients with cerebral vascular disease treated by interventional therapy in our hospital from March 2013 to March 2015, all patients were divided into management group(optimal anesthetic use and management method) and control group(211 patients). Results Compared with the two groups of patients with operation time, recovery time, the total effective rate of treatment, blood pressure recovery, anti hypertension, pain, blood pressure control effect and other clinical indicators, the management group were better than the control group, the results showed statistically significant difference(P<0.05). Conclusion The treatment of cerebral vascular disease with good anesthetic management strategy can not only play an ideal role in the treatment of patients, but also to ensure the operation of patients, reduce the use of anesthetic drugs in the process of adverse effects, improve the use of medical workers in the Department of Neurosurgery consciousness, should be the focus of clinical promotion.