Observation of Target Controlled Remifentanil Combined with Desflurane Induced Hypotension in Spinal Operation
ZHOU Wu-bao
Abstract：Objective:To investigate the clinical effect of target controlled(TCI) controlled hypotension with Remifentanil and Desflurane in spinal surgery of general anesthesia.Method:36 patients with spinal trauma fracture received posterior incision open reduction and internal fixation surgery were selected in our hospital from March 2012 to October 2013.ASA classification Ⅰ-Ⅱ,they were randomly divided into Remifentanil-Desflurane group(Remifentanil group) and Fentanyl-Propofol group(the control group),18 cases in each group.Preoperative patients had no obvious heart,lung, kidney,endocrine disease and hypertension.Remifentanil group and the control group before and after anesthesia of mean arterial pressure,heart rate,blood pressure,recovery time and extubation time,eye opening time and quantity of hemorrhage were compared.Result:Remifentanil group after operation in 10,30,60 minutes,mean arterial blood pressure and heart rate were significantly lower than those of the control group(P<0.05),5 minutes after discontinuation of mean arterial blood pressure was higher than that of the control group,the heart rate was higher than that of the control group(P<0.05).Remifentanil group blood pressure recovery time,pull the bleeding pipe time to eye opening,time and operation in volume were significantly lower than those of the control group(P<0.05).Conclusion:Target controlled infusion of Remifentanil with Desflurane controlled hypotension used in spinal surgery control has an ideal antihypertensive effect.
Keywords：Spinal operationControlled hypotensionTarget controlledRemifentanilDesflurane
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 3-4,5 )