镇静镇痛对高血压脑出血术后血压、二次出血率影响的研究进展  

Research progress of influence of sedation and analgesia on blood pressure and secondary hemorrhage rate after operation for hypertensive cerebral hemorrhage

作　　者：李慧[1] 冯贵龙[2] 杨晓明[2] 

机构地区：[1]山西医科大学第一临床医学院,山西太原030001 [2]山西医科大学第一医院,山西太原030001

出　　处：《中国现代医生》2016年第22期160-163,共4页China Modern Doctor

基　　金：北京协和医学基金会睿E(睿意)急诊医学研究专项基金资助项目(R2015017)

摘　　要：高血压脑出血(HICH)外科手术治疗效果得到肯定,但术后血压控制不良,诱发再出血是其严重的并发症,且躁动、谵妄均影响患者的预后。单纯应用降压药物控制血压有时并不能得到满意的治疗效果,随着国内外研究的不断深入,镇静、镇痛在高血压脑出血术后治疗中的规范化应用得到人们的重视。本文就高血压脑出血术后血压控制的重要性、二次出血的原因以及镇静镇痛的治疗现状作一综述。Surgical treatment has definite effects on hypertensive cerebral hemorrhage （HICH）, however, severe compli- cations include secondary hemorrhage induced by poor control of postoperative blood pressure, and agitation and delir- ium will affect the prognosis of patients. Simple use of antihypertensive drugs may fail to achieve satisfactory effects. With the increasing research both domestic and abroad, the standardized application of sedation and analgesia after op- eration has drawn more and more attention. This article reviews the importance of blood pressure control after HICH operation, causes of secondary hemorrhage, and current status of sedation and analgesia treatment.

关 键 词：高血压脑出血 二次出血 镇静 镇痛 

分 类 号：R544.1[医药卫生—心血管疾病] R651.1[医药卫生—内科学]