瑞芬太尼联合丙泊酚麻醉对脑外科手术患者血流动力学及炎性因子的影响分析

发布时间：2018-06-01 23:48

本文选题：瑞芬太尼 + 丙泊酚　；参考：《世界最新医学信息文摘》2016年72期

【摘要】：目的分析瑞芬太尼与丙泊酚配合治疗脑外科手术的实际血流动态学状态水平,准确的分析患者实际的治疗方法,研究动力学和炎性因子的相关处理办法。方法选取入院治疗的100例实施脑外科手术的患者,根据患者进行随机分配,设定为对照组和观察组。其中对照组50例患者,观察组50例患者,对比两组患者的心率水平、收缩压和舒张压、血流动态指标、拔管时间、睡眠指标等内容,准确的记录和分析。按照对比的实际情况进行合理的分析,观察患者实际的气腹时间,对拔管后的状态进行判断。结果通过对照组和观察组的对照分析显示,患者的舒张压和收缩压明显降低,拔管时间明显减少,拔管后患者的整体水平得到有效的提升。结论瑞芬太尼符合丙泊酚麻醉治疗,可以有效的改善患者的脑供血流水平,对改善患者的脑供血效果具有明显的稳定性作用,可以有效的实现镇定作用,具有一定的临床推广性治疗意义。
[Abstract]:Objective to analyze the actual blood flow dynamic state of remifentanil combined with propofol in the treatment of brain surgery, to analyze the actual treatment methods of patients, and to study the related methods of dynamics and inflammatory factors. Methods 100 patients undergoing brain surgery were randomly assigned to control group and observation group. The heart rate, systolic and diastolic blood pressure, blood flow dynamic index, extubation time and sleep index were recorded and analyzed accurately in the control group (n = 50) and the observation group (n = 50). The actual pneumoperitoneum time was observed and the state after extubation was judged. Results the control group and the observation group showed that the diastolic pressure and systolic blood pressure were significantly decreased, the extubation time was significantly reduced, and the overall level of the patients after extubation was effectively improved. Conclusion remifentanil in accordance with propofol anesthesia can effectively improve the cerebral blood flow level of patients, improve the cerebral blood supply effect of patients with obvious stability, can effectively achieve a calm effect. It has certain clinical popularizing therapeutic significance.
【作者单位】：黑龙江齐齐哈尔市建华医院南院麻醉科;
【分类号】：R614

【相似文献】