头皮神经阻滞在颅脑外科术后镇痛中应用  

Clinical research of the scalp nerve block for the postoperative analgesia in craniocerebral operation

作　　者：周珩[1] 邓娜[2] 梁佐迪[1] 刘炜炜[1] 蔡大升[1] 

机构地区：[1]中国医科大学附属第一医院麻醉科,辽宁沈阳110001 [2]中国医科大学附属第四医院血液科,辽宁沈阳110032

出　　处：《临床军医杂志》2017年第11期1138-1140,共3页Clinical Journal of Medical Officers

摘　　要：目的探讨头皮神经阻滞(SNB)在颅脑外科术后镇痛应用中的可行性。方法选取2014年7月至2016年6月在中国医科大学附属第一医院行开颅手术的71例患者作为研究对象。其中,行SNB术后镇痛者31例(SNB组),行患者自控静脉镇痛(PCIA)者40例(PCIA组)。观察并比较两组患者术后各时间点视觉模拟量表(VAS)评分,以及阿片类药物使用量、术后镇痛相关并发症发生率。结果 SNB组患者术后镇痛效果与PCIA组相当,但阿片类药物使用量和术后镇痛相关并发症发生率均低于PCIA组(P<0.05)。结论颅脑外科术后SNB镇痛可以提供与传统镇痛方法相当的镇痛效果,同时,也具备传统镇痛方法不具备的优势。Objective To investigate the effect and safety of the postoperative analgesia by scalp nerve block（SNB） in craniocerebral operation.Methods A retrospective study was performed on 71 cases of patients underwent craniocerebral surgery from July 2014 to June 2016.The patients who were given SNB for postoperative analgesia were in the SNB group（n = 31）,the others who were given patient controlled intravenous analgesia（PCIA） were in the PICA group（n = 40）.The visual analogue score（VAS）,the mean total opioid consumption,and the incidence of postoperative analgesia related complications were compared between the two groups.Results The analgesic effect of two groups was almost the same,while the total opioid consumption and incidence of postoperative analgesia related complications of SNB group were lower than those in the PCIA group.Conclusion The postoperative analgesia of craniocerebral operation by scalp nerve block can provide the same analgesic effect to traditional postoperative analgesia methods.Meanwhile,it can provide some advantages which traditional postoperative analgesia cannot.

关 键 词：术后镇痛 颅脑手术 头皮神经阻滞 患者自控静脉镇痛 

分 类 号：R971.2[医药卫生—药品]