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七氟醚吸入麻醉与丙泊酚静脉麻醉用于颈动脉内膜切除术的比较评估

[Comparative assessment of inhalation anesthesia with sevofluran and intravenous anesthesia with propofol for carotid endarterectomy].

作者信息

Neĭmark M I, Shmelev V V, Simagin V Iu

出版信息

Vestn Khir Im I I Grek. 2009;168(6):66-71.

Abstract

Total intravenous anesthesia with propofol and inhalation sevofluran was assessed in 130 patients with carotid endarterectomy. The parameters of brain blood circulation, brain damage markers were studied. It was shown that sevofluran anesthesia caused less depression of the hemodynamic parameters, supported more optimum level of brain blood flow that limited ischemic and reperfusion damage of the brain and was accompanied by a fewer number of postoperative complications.

摘要

在130例行颈动脉内膜切除术的患者中评估了丙泊酚全静脉麻醉和吸入七氟烷麻醉。研究了脑血液循环参数和脑损伤标志物。结果表明,七氟烷麻醉引起的血流动力学参数抑制较轻,能维持更适宜的脑血流水平,限制脑缺血和再灌注损伤,且术后并发症较少。

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