不同麻醉方式对重型颅脑损伤急诊手术患者影响.docVIP

不同麻醉方式对重型颅脑损伤急诊手术患者的影响 　　[摘要] 目的 探讨不同麻醉方式对重型颅脑损伤急诊手术患者的影响。 方法 收集2014年1月～2017年1月期间我院急诊科收治的重型颅脑损伤患者共60例作为研究对象，将其按照不同的麻醉方法分为两组，对照组和观察组各30例，两组均给予相同的术前准备，对照组静吸复合麻醉，观察组全凭静脉麻醉，比较两组插管前、插管后10 min、插管后1 h、手术结束HR、SBP、DBP，并发症情况、致残及死亡情况。 结果 观察组插管前、插管后10 min、插管后1 h、手术结束后HR、SBP、DBP与对照组比较，差异无统计学意义（P0.05），观察组呼吸衰竭发生率、并发症总发生率、致残率、死亡率均低于对照组，两组差异有统计学意义（P0.05）。 结论 重型颅脑损伤急诊手术患者使用全凭静脉麻醉效果更好，不会对患者形成明显的影响，且并发症发生率、死亡率及致残率均较低，可在临床推广应用。 　　[关键词] 颅脑损伤；麻醉；急诊；静吸复合麻醉；全凭静脉麻醉 　　[中图分类号] R614；R651.1+5 [文献标识码] B [文章编号] 1673-9701（2017）13-0122-03 　　[Abstract] Objective To investigate the effect of different anesthesia methods on the emergency surgery in the patients with severe craniocerebral injury. Methods A total of 60 patients with severe craniocerebral injury who were admitted to the emergency department in our hospital from January 2014 to January 2017 were collected as the study subjects. The patients were divided into two groups according to different anesthesia methods， with 30 cases each in the control group and the observation group. Both groups were given the same preoperative preparation. The control group was given intravenous inhalational anesthesia. The observation group was given total intravenous anesthesia. HR， SBP， DBP， complications， disability and death before intubation， 10 min after intubation， 1 h after intubation and at the end of surgery were compared between the two groups. Results There were no statistically significant differences in HR， SBP and DBP between the observation group and the control group before intubation， 10 min after intubation， 1 h after intubation and at the end of surgery（P0.05）. The incidence rate of respiratory failure， total incidence rate of complications， morbidity rate and mortality rate in the observation group were lower than those in the control group， and there were statistically significant differences between the two groups（P0.05）. Conclusion Total intravenous anesthesia in the emergency surgery in the patients with severe craniocerebral has a