Comparison of remifentanil combined with sevoflurane or propofol in anesthesia for patients with intracranial tumors
10.3969/j.issn.1005-1678.2017.07.071
- VernacularTitle:瑞芬太尼复合七氟醚或异丙酚在颅内肿瘤患者手术麻醉中的应用比较
- Author:
Zhaohui GAI
;
Yibin YANG
;
Haiyan WANG
;
Yunhong ZHANG
;
Yanli ZHANG
;
Bo LI
- Keywords:
reventa ni;
sevoflurane;
propofol;
intracranial tumor;
surgical anesthesia
- From:
Chinese Journal of Biochemical Pharmaceutics
2017;37(7):182-183
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the application of remifentanil combined with sevoflurane or propofol in the anesthesia of patients with intracranial tumors.Methods From January 2015 to December 2015,60 patients with intracranial tumor surgery in our hospital were selected as the research object in this study.They were randomly divided into A group and B group,each group had a total of 30 cases.Patients in group A were treated with remifentanil combined with sevoflurane anesthesia,and B group was treated with remifentanil and propofol anesthesia.Comparative analysis of A group and B group of patients with clinical indicators.Results During the operation,two groups of patients with end tidal carbon dioxide partial pressure and pulse oxygen saturation score.Two groups of patients in the immediate intubation heart rate and blood pressure were significantly lower than before anesthesia,A group reduced the degree of greater,with statistical difference(P<0.05).In group A,30 min and 1H were significantly higher than those in group B after anesthesia,and the difference was statistically significant(P<0.05).The anesthesia time of A group was(187.3±22.7)min,and the extubation time was(22.1±8.2)min.The anesthesia time of B group was(181.4±19.1)min,and the extubation time was(10.2±5.3)min.As a result,B group of patients with anesthesia time and extubation time were significantly less than the A group,and with statistical difference(P<0.05).Conclusion Remifentanil Combined with propofol and sevoflurane anesthesia in patients with intracranial tumors compared to two kinds of methods can effectively stabilize the patient's life signs,but remifentanil and propofol recovery time is fast,contribute to the balance of cerebral oxygen supply and consumption in a certain extent,with the further promotion and application of clinical significance.
