依托咪酯不同输注方式在胶质瘤功能区切除术中唤醒麻醉的比较

发布时间：2018-01-13 05:34

  本文关键词：依托咪酯不同输注方式在胶质瘤功能区切除术中唤醒麻醉的比较　出处：《吉林医学》2016年05期 　论文类型：期刊论文

  更多相关文章： 术中唤醒麻醉 依托咪酯 不同输注方式 胶质瘤功能区切除术 唤醒质量

【摘要】：目的:探讨术中唤醒麻醉中依托咪酯不同输注方式对胶质瘤功能区切除术患者血流动力学的影响。方法:选取需行唤醒实验和胶质瘤切除术的患者62例,将患者随机分为靶控输注组(A组)和持续静脉输注组(B组),每组31例。比较两组患者术后唤醒质量、唤醒时间、不良事件发生率以及术者和患者满意度。结果:A组患者唤醒质量为Ⅰ级和Ⅱ级的比例均显著高于B组,唤醒质量为Ⅲ级和Ⅳ级的比例则均显著低于B组,差异有统计学意义(P0.01)。与B组比较,A组患者的唤醒时间缩短、不良事件发生率下降,术者及患者对术中唤醒实施过程的满意度均升高,差异有统计学意义(P0.05)。结论:术中唤醒麻醉中依托咪酯靶控输注较持续静脉输注可更有效地提高唤醒质量、缩短唤醒时间、减少不良事件的发生并提高术者和患者的满意度,值得临床推广使用。
[Abstract]:Objective: to investigate the effect of different infusion modes of etomidate on hemodynamics in patients with glioma functional area resection during arousal anesthesia. Methods: 62 patients who needed arousal test and glioma resection were selected. Patients were randomly divided into target-controlled infusion group (group A) and continuous intravenous infusion group (group B) with 31 cases in each group. The postoperative arousal quality and wake-up time were compared between the two groups. Results the arousal quality of group A was significantly higher than that of group B, and the proportion of grade 鈪，

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