小骨窗开颅治疗高血压脑出血采取不同麻醉方式的临床分析  

Clinical analysis of different anesthesia methods for treatment of hypertensive intracerebral hemorrhage with small bone window craniotomy

作　　者：张良[1] ZHANG Liang(Department of Anesthesia, Dalian Central Hospital, Dalian 116000, China)

机构地区：[1]大连市中心医院麻醉科,116000

出　　处：《中国现代药物应用》2019年第8期18-19,共2页Chinese Journal of Modern Drug Application

摘　　要：目的探讨小骨窗开颅治疗高血压脑出血采取不同麻醉方式的临床效果。方法 80例小骨窗开颅治疗高血压脑出血患者,按照麻醉方式的不同分为对照组和试验组,每组40例。对照组患者采取气管插管全身麻醉,试验组患者采取局部麻醉。比较两组患者术后并发症发生情况。结果试验组患者术后并发症发生率为5.0%,低于对照组的22.5%,差异具有统计学意义(P<0.05)。两组均无死亡病例。结论小骨窗开颅治疗高血压脑出血患者采取局部麻醉,明显减少术后并发症的发生,值得在临床推广。Objective To discuss the clinical effect of different anesthesia methods for treatment of hypertensive intracerebral hemorrhage with small bone window craniotomy. Methods A total of 80 hypertensive intracerebral hemorrhage patients with small bone window craniotomy were divided by different anesthesia methods into control group and experimental group, with 40 cases in each group. The control group received general anesthesia through tracheal intubation, and the experimental group received local anesthesia. The occurrence of postoperative complications in two groups was compared. Results The experimental group had lower incidence of postoperative complications as 5.0% than 22.5% in the control group, and the difference was statistically significant(P<0.05). There were no deaths in both groups. Conclusion Local anesthesia for patients with hypertensive cerebral hemorrhage treated with small bone window craniotomy can significantly reduce the occurrence of postoperative complications and is worthy of clinical promotion.

关 键 词：小骨窗开颅 高血压脑出血 不同麻醉方式 

分 类 号：R614[医药卫生—麻醉学]