神经外科躁动患者镇痛镇静的临床思考

Clinical View of Sedation and Analgesia in Neurosurgically Restlessness Patients

颅内病变引起疼痛躁动的患者是临床上比较常见的。本文指出了神经外科患者疼痛躁动的表现及危害,总结常用镇静镇痛药物的常规剂量、不良反应及对神经外科患者的特殊药理学作用,针对临床上此类患者使用镇痛镇静剂两难的问题,进行临床思考和讨论,为临床医生处理神经外科躁动患者提供临床思路。

Agitation caused by intracranial lesions is more common in clinical. In this manuscript, we point out clinical manifestation and hazard of agitation and pain,summary of conventional dose, adverse reactions about common drugs used for sedation and analgesia, and the special pharmacological effects in neurosurgical patients, to discuss and reflect on the di- lemma of using sedative analgesics to these patients, offering clinical thought in treatment of such restlessly patients.