头高位对颅脑手术后患者头痛的影响

Influence of Reverse Trendelenburg Position on Headache of Patients with Craniocerebral Operation

目的探讨头部抬高对神经外科脑肿瘤患者开颅术后头痛的影响。方法选择颅内肿瘤术后患者100例随机分为观察组与对照组各50例,术后全麻清醒后分别给予抬高床头30°和未抬高床头处理,观察并记录两组患者头痛的情况。结果术后第24、第48、第72小时两组患者头痛程度差异均有统计学意义,观察组低于对照组(P<0.05)。胶质瘤、脑膜瘤术后抬高床头者均较未抬高者头痛程度轻(P<0.05)。结论颅脑手术患者术后抬高床头,可有效减轻患者的疼痛程度。

Objective To explore the impact of reverse trendelenburg position on postoperative headache of patients with brain tumors undergoing craniotomy.Methods A total of 100 patients with intracranial tumor surgery were randomly divided equally into control group and observation group.The former were managed with the head bed elevated at a degree of 30°,while the latter received no elevation of the head bed.The headaches in both groups were observed and recorded.Results The differences of postoperative headache were statistically significant at the 24th,48th and 72nd hours,and it was milder in control group than in observation group（P0.05）.For the patients with neurogliocytoma,meningioma,their headaches when elevating the head bed were milder than those with no elevation of head bed（P0.05）.Conclusion Elevation of head bed after craniocerebral operations can effectively reduce headaches.