首页|喉罩吸入麻醉联合舒更葡糖钠对颅内动脉瘤介入栓塞术患者血流动力学和苏醒质量的影响

喉罩吸入麻醉联合舒更葡糖钠对颅内动脉瘤介入栓塞术患者血流动力学和苏醒质量的影响

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目的:观察并探讨颅内动脉瘤介入栓塞术患者经喉罩吸入麻醉与舒更葡糖钠联合应用效果,以及对血流动力学、苏醒质量的影响.方法:前瞻性选取佳木斯市中心医院于2021年1月—2022年12月接收的 87 例颅内动脉瘤介入栓塞术患者作为研究对象,随机分为对照组(n=45)、观察组(n=42),对照组给予喉罩吸入麻醉联合新斯的明,观察组给予喉罩吸入麻醉联合舒更葡糖钠.比较两组血流动力学、苏醒质量、肌松残余率、不良反应.结果:两组用药前血流动力学比较差异均无统计学意义(P>0.05);用药后 1、5、15、30 min,对照组心率、呼吸、平均动脉压均升高,观察组心率、呼吸、平均动脉压无明显变化;用药后 1、5、15、30 min,观察组心率、呼吸、平均动脉压均比对照组低,差异均有统计学意义(P<0.05).观察组拔罩时间、自主呼吸恢复时间、意识清醒时间均早于对照组,住院时间短于对照组,差异均有统计学意义(P<0.05).观察组用药后 10、20、30 min肌松残余率均低于对照组,差异均有统计学意义(P<0.05).观察组术后咳嗽、呼吸抑制、干呕、疼痛等不良反应总发生率低于对照组,差异有统计学意义(P<0.05).结论:喉罩吸入麻醉与舒更葡糖钠联合应用于颅内动脉瘤介入栓塞术患者中,能够稳定血流动力学,提高患者术后苏醒质量,减少肌松残余,保障患者治疗安全.
The Effect of Laryngeal Mask Inhalation Anesthesia Combined with Sugammadex Sodium on Hemodynamics and Recovery Quality in Patients with Intracranial Aneurysm Undergoing Interventional Embolization
Objective:To observe and investigate the effects of laryngeal mask inhalation anesthesia combined with Sugammadex Sodium on hemodynamics and recovery quality of patients during interventional embolization of intracranial aneurysms.Method:A total of 87 patients receiving interventional embolization of intracranial aneurysms from Jiamusi Central Hospital from January 2021 to December 2022 were prospectatively selected as clinical objects,they were randomly divided into the control group(n=45)and the observation group(n=42).The control group was given laryngeal cover inhalation anesthesia combined with Neostigmine.The observation group was given laryngeal mask inhalation anesthesia combined with Sugammadex Sodium.Hemodynamics,recovery quality,residual rate of muscle relaxation and adverse reactions in two groups were compared.Result:There were no differences in hemodynamics between the two groups before medication(P>0.05).After 1,5,15 and 30 min,the heart rate,respiration and mean arterial pressure in the control group increased,while the heart rate,respiration and mean arterial pressure in the observation group did not change significantly;after 1,5,15 and 30 min,the heart rate,respiration and mean arterial pressure in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The time of mask removal,recovery time of spontaneous breathing,waking time in the observation group were earlier than those in the control group and hospital stay in the observation group was shorter than that in the control group(P<0.05).The residual rate of muscle relaxations in the observation group at 10,20 and 30 min after surgery were lower than those in the control group(P<0.05).The rate of total adverse reactions of postoperative cough,respiratory depression,retching and pain in the observation group was lower than that in the control group(P<0.05).Conclusion:Laryngeal mask inhalation anesthesia combined with Sugammadex Sodium can stabilize hemodynamics,improve the postoperative recovery quality of patients,reduce the residual muscle relaxation,ensure the safety of treatment.

Interventional embolization of intracranial aneurysmLaryngeal mask inhalation anesthesiaSugammadex SodiumHemodynamics

王芳

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佳木斯市中心医院麻醉科 黑龙江 佳木斯 154002

颅内动脉瘤介入栓塞术 喉罩吸入麻醉 舒更葡糖钠 血流动力学

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(8)
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