60例重症颅脑外伤手术的麻醉体会

摘要

Objective To investigate the efective anesthesia of emergency surgery in patients with severe traumatic brain injury.Methods60 cases of severe traumatic brain injury patients for the study were randomly divided into two groups, the experimental group and the control group, each of 30 cases. Patients in the experimental group were treated with total intravenous anesthesia, while patients in the control group were implemented inhalation anesthesia. The eficacy of anesthesia was compared between the two groups of patients.Results The heart rate and mean arterial pressure of the experimental group patients in incision and cut the dura were significantly lower than the control group, and the recovery time and extubation time of patients were significantly shorter than the control group (P<0.05).ConclusionPatients with severe traumatic brain injury treated with emergency surgery inhalation anesthesia can maintain a good depth of anesthesia, which has an important role in implementation of surgery.%目的：分析重症颅脑外伤手术的麻醉方法。方法选择在我院进行治疗60例重症颅脑外伤患者作为研究对象，将其随机分为对照组和观察组，每组30例，对照组接受静吸复合麻醉，观察组接受全凭静脉麻醉，比较两组患者的麻醉效果。结果和对照组患者相比较，观察组患者切皮、切硬脑膜时心率和平均动脉压都较低，患者苏醒和拔管时间也较短（P＜0.05）。结论重症颅脑外伤患者进行手术时使用全凭静脉麻醉具有良好的麻醉效果且能维持患者的麻醉深度，能够促进手术的顺利进行，值得临床推广使用。