颅脑创伤患者120例麻醉效果分析

The anesthetic effect of 120 cases of patients with cerebral injury

目的:探讨不同麻醉方案对颅脑创伤手术患者麻醉效果的影响。方法:将120例接受手术的颅脑外伤患者随机分为A组和B组,各60例,A组施用异丙酚麻醉方案,B组施用异氟醚麻醉方案。观察并分析术前、术中、术后各项生理指标。结果:两组平均动脉压(MAP)和心率(HR)在组内和组间比较,均有显著性差异(P<0.05)。SPO2在组内和组间比较,均无显著性差异(P>0.05),两组术后不良反应统计亦无显著性差异(P>0.05)。结论:两种麻醉方案均有较好的麻醉效果,但采用异丙酚麻醉方案血压变化稳定,更适合于老年患者,安全性较高,值得临床推广应用。

Objective：To explore the effects of different anesthesia scheme for operative patients with cerebral injury. Methods：120 cases of patients with cerebral injury for surgery treatment were randomly divided into group A（60 cases）and group B （60 cases）. Propofol anesthesia was applied in group A,and Isoflurane was applied in group B. Before,in and after surgery,various physiological indexes were observed and analyzed. Results：MAP and HR were compared and showed significant differences in respective group and in two groups （P〈0.05）. SPO2 comparison showed no significant difference in both respective group and two groups （P〉0.05）,and postoperative adverse reaction of two groups also was no significant difference （P〉0.05）. Conclusion：Both anesthesia schemes have good anaesthetic effect,but the propofol anesthesia scheme shows more stable blood pressure changes and suitability for the elderly,so it is a better anesthesia schemes and worth of clinical promotion and application.