急性颅脑损伤的临床麻醉处理方法探讨  

Discussion of Clinical Anesthesia Management Methods for Acute Craniocerebral Injury

作　　者：凤旭东[1] 李雨恒[1] 王灿 张杨 刘长卿[1] 钟成跃 Feng Xudong(Department of Anesthesiology,PLA153 Hospital,Zhengzhou 450042)

机构地区：[1]郑州市解放军153医院麻醉科,郑州450042

出　　处：《数理医药学杂志》2018年第9期1323-1324,共2页Journal of Mathematical Medicine

摘　　要：目的:探讨急性颅脑损伤的临床麻醉处理方法与效果。方法:选择128例某院于2017年4月~2018年4月所收治的急性颅脑损伤患者,依麻醉处理方法不同将其分为对照组和研究组,分别行静脉推注联合吸入麻醉和全凭静脉麻醉,观察并比较两组患者的麻醉效果。结果:研究组麻醉处理各时段的血压及心率较对照组均明显更低,差异具统计学意义(P<0.05);研究组死亡率为9.38%,较对照组的20.31%明显更低,差异具统计学意义(P<0.05)。结论:相比于静脉推注联合吸入麻醉,全凭静脉麻醉给患者血压及心率所带来的影响较小,安全性较高,有利降低患者死亡率,值得在临床当中推广应用。Objective：To explore the clinical anesthesia treatment methods and effects for acute craniocerebral injury.Methods：128patients with acute craniocerebral injury admitted in a hospital from April 2017 to April 2018 were divided into control group and study group according to different anesthesia treatment methods.Intravenous injection combined with inhalation anesthesia and total intravenous anesthesia were performed respectively,observed and compared the anesthetic effects of the two groups.Results：The blood pressure and heart rate of the study group were significantly lower than those of the control group at the time of anesthesia treatment,the difference was statistically significant（P〈0.05）.The mortality rate of the study group was 9.38%,which was significantly lower than that of the control group（20.31%）.The difference was statistically significant（P〈0.05）.Conclusion：Compared with intravenous bolus combined with inhalation anesthesia,total intravenous anesthesia has less impact on blood pressure and heart rate,has high safety,and is beneficial to decrease mortality,which is worthy of promotion in clinical practice.

关 键 词：急性颅脑损伤 麻醉处理 临床效果 

分 类 号：R614[医药卫生—麻醉学]