对重症颅脑创伤镇静镇痛的认识  

Understanding of sedation and analgesia in traumatic brain injury

作　　者：韩敏[1] 杜勇健[1] 杨光诚[1] Han Min;Du Yongjian;Yang Guangcheng(Department of Neurosurgery,the 5th People’s Hospital of Ji’nan,Ji’nan 250022,China.)

机构地区：[1]济南市第五人民医院神经外科,250022

出　　处：《中华神经创伤外科电子杂志》2018年第1期42-45,共4页Chinese Journal Of Neurotraumatic Surgery：Electronic Edition

摘　　要：颅脑创伤是一种常见外伤,可单独存在,也可合并其他脏器伤,病情复杂多变,伤后常表现出不同程度的烦躁,造成脑耗氧量增加、颅内压升高等不良后果。因此,合理科学的镇痛、镇静治疗尤为重要,可缓解疼痛、焦虑和躁动,降低应激反应及其对机体的损害,利于诊断、护理和治疗性操作,减少并发症,尤其对于重症患者更加有益。本文针对颅脑创伤后的病理生理、常用镇静镇痛药物、镇痛镇静治疗的新进展等几个方面进行综述。Traumatic brain injury is a familiar injury,which can exist solely and also can combined with other organs,the disease is complex and changeable,often shows different degrees of irritability,resulting in brain oxygen consumption increase,intracranial pressure increased and other adverse consequences.Therefore,reasonable,scientific analgesic and sedative treatment is particularly important to relieve pain,anxiety and restlessness,reduce stress response and its damage to the body,facilitate diagnosis,care and treatment operations,and reduce complications,especially for severe patients.The pathological physiology,commonly used sedative,analgesic drugs,and the new progress of analgesic and sedative therapy are sum up in this paper.

关 键 词：创伤性颅脑损伤 镇静 镇痛 

分 类 号：R651.15[医药卫生—外科学]