Effect Of Psychological Stress Remifentanil Composite With Inoflurance Or Propofol Anesthesia For The Intraoperative Wake-up Test In The Scoliosis Surgery

OBJECTIVE To compare scoliosis surgery composite isoflurane inhalation-remifentanil anesthesia of remifentanil and propofol target-controlled intravenous anesthesia on patients with sedation, and postoperative quality of psychological recovery should exciton effect.METHODS 30 patients undergoing scoliosis surgery Bank, ASAⅠandⅡ, remove with hypertension, coronary heart disease and mental illness patients, aged 18 to 35 years old, were randomly divided into Effect ether compound remifentanil inhalation-group (group A) of remifentanil and propofol target-controlled intravenous anesthesia group (group B), 15 cases each. Intravenous anesthesia induction in hebron miaow thiazole of 0.02～0.04 mg/Kg, and fentanyl2～4 mg/. Kg, propofol 1.5～2mg /Kg, vecuronium 0.1～0.12 mg/Kg, Tracheal intubation control breath. After observation to stop in time and sensei quality, awakening and two groups of patients in preoperative and postoperative 1d,2d, 1w tracking follow-up survey, Observation stop infusion of propofol or after inhalation anesthetics of the time and wake up and the quality of group A and B patients, respectively after one day, two days, one weeks, a follow-up investigation on track with Zung Depression Scale (SDS), Anxiety Scale (SAS) as a measure of the patient awakened the impact of mental stress.RESULTS 1. Group A patients to breathe independently recovery time, called the directive simply time and motor recovery time shorter than in group B (P<0.05). Awaken success, group B patients had four cases simply reluctantly, and with limbs involuntary activities, the quality of gradeⅡregained consciousness; Group A are classⅠ. And the immediate wake HR, MAP were lower than in group B (P<0.05),2. SDS, SAS evaluation results of group A was significantly lower than that in group B(P<0.05).CONCLUSION Isoflurane composite inhalation-remifentanil anesthesia for scoliosis surgery in the wake of time can be shortened, an increase of up to the test of control, and wake up during the hemodynamic fluctuations small to awaken after psychological stress impact on small, has a good clinical value.