摘要
目的对比靶控输注舒芬太尼和维库溴铵静脉麻醉用于神经外科手术的麻醉效果。方法选取2012-01—2013-12我院收治并接受神经外科择期手术的患者46例,随机等分为S组与V组,分别采用舒芬太尼靶控麻醉和维库溴铵静脉麻醉,对麻醉效果及并发症情况进行评估。结果 S组与V组麻醉前后HR、CVP、SBP及DBP均明显降低(P<0.05)。与V组比较,S组拔管时间明显缩短,VAS评分明显提高,并发症发生率明显降低。结论在神经外科手术中,舒芬太尼靶控麻醉较维库溴铵静脉麻醉具有更佳麻醉效果和较少的并发症,适合临床应用。
Objective To investigate the effectiveness comparison of sufentanil target controlled infusion (TCI) and vecu-ronium bromide intravenous anesthesia in neurosurgery.Methods 46 neurosurgery patients undergoing elective surgery in our hospital from Jan. 2012 to Dec. 2013 were randomly divided into the S group (n= 23 ,treated with sufentanil TCI ) and V group (n= 23 ,treated with vecuronium bromide intravenous anesthesia ). The anesthesia effects and complications of two groups were compared.Results The HR ,CVP ,SBP and DBP of two groups were significantly decreased (P〈0.05) before and after anesthesia. Compared with the V group ,there were shorter decannulation time ,higher VAS score and less complica-tions in the S group.Conclusion Sufentanil TCI has better anesthesia effects and less complications in neurosurgery ,which is worthy of clinical application.
出处
《中国实用神经疾病杂志》
2014年第22期39-41,共3页
Chinese Journal of Practical Nervous Diseases