广州医药 ›› 2017, Vol. 48 ›› Issue (1): 36-37.DOI: 10.3969/j.issn.1000-8535.2017.01.009

• 论著 • 上一篇    下一篇

七氟烷复合静脉诱导在脑动脉瘤栓塞术中的临床观察

刘占立, 刘喜成   

  1. 暨南大学第二临床医学院附属深圳市人民医院 (深圳 518020)
  • 收稿日期:2016-09-20 发布日期:2021-12-01
  • 通讯作者: 刘喜成,E-mail:3082098@qq.com

Clinical observation of sevoflurane combined with intravenous induction in the treatment of cerebral aneurysm embolization

LIU Zhanli, LIU Xicheng   

  1. Department of Anesthesiology, Shenzhen People's Hospital Affiliated to the Second Clinical Medical College of Jinan University, Shenzhen 518020, China
  • Received:2016-09-20 Published:2021-12-01

摘要: 目的 探讨七氟烷复合静脉诱导在脑动脉瘤栓塞术中的临床效果。方法 分析2013年1月—2015年12月在我院接受脑动脉瘤栓塞术80例患者的临床资料,根据随机数字表法分为研究组(n=40)和对照组(n=40),对照组采用全凭静脉诱导插管方法,研究组采用七氟烷复合静脉诱导插管方法,比较两组患者的应用效果。结果 两组患者血流动力学、血浆E及NE、呛咳反应发生率、阿托品及血管活性药物使用率比较,研究组均明显优于对照组(P<0.05)。结论 七氟烷复合静脉诱导用于脑动脉瘤栓塞术对患者血流动力学和应激反应的影响较小,具有较高的安全性和可靠性,可应用于临床。

关键词: 七氟烷, 静脉诱导, 脑动脉瘤栓塞术

Abstract: Objective To explore the clinical effect of sevoflurane combined with intravenous induction in the treatment of cerebral aneurysm embolization. Methods The clinical data of 80 patients with cerebral aneurysm embolization in our hospital from January 2013 to December 2015 were analyzed and divided into study group (n=40) and control group (n=40) according to the random number table. The control group was treated by intratracheal intubation with total intravenous induction. In the study group, sevoflurane combined intravenous induction with intratracheal intubation was used to compare the effect of the two groups. Results Compared with the control group, the hemodynamics, the plasma E and NE, the incidence of cough reaction, atropine and vasoactive drug use were significantly better than those in the control group (P<0.05). Conclusion Sevoflurane combined with intravenous induction for cerebral aneurysm embolization in patients with less impact on hemodynamics and stress response, with high safety and reliability, can be used clinically.

Key words: Sevoflurane, Intravenous induction, Cerebral aneurysm embolization