区域神经阻滞麻醉在颅脑外科手术中的应用研究

The Research of Application Regional Nerve Block Anesthesia in the Brain Elective Surgery

目的探讨区域神经阻滞麻醉在颅脑择期手术中的应用价值。方法选择62例颅脑择期手术患者,随机分为两组,各31例,A组行区域神经阻滞麻醉,B组采用常规麻醉。结果术后4、8、12、24及48h时间点的疼痛评分(VAS评分),A组患者分别为(1.9±1.4)分、(2.6±1.4)分、(2.7±1.2)分、(3.8±1.1)分、(2.5±1.3)分,B组为(2.6±1.5)分、(4.6±1.0)分、(5.6±1.6)分、(6.3±1.0)分、(5.5±0.7)分,两组比较,P<0.05;而且术中麻醉性镇痛药瑞芬太尼使用量明显少于B组(P<0.05)。结论区域神经阻滞麻醉的应用可以明显减轻开颅手术患者术后48h内不同时间点的伤口疼痛,而且明显减少术中麻醉性镇痛药瑞芬太尼的使用量。

Objection To study the value of application regional nerve block anesthesia in the brain elective surgery. Methods Select 62 cases of elective neurosurgery patients who were randomly divided into two groups, 31 cases each group, group A were applied regional nerve block anesthesia, group B were applied conventional anesthesia. Result The patients＇（group A） postoperative 4, 8, 12, 24 and 48 hours time-point pain scale （VAS score） were 1.9±1.4, 2.6±1.4, 2.7±1.2, 3,8±1.1, 2.5±1.3 points, the patients＇（group 13） postoperative 4, 8, 12, 24 and 48 hours time-point pain scale （VAS score） were 2.6±1.5,4.6±1.0,5.6 ±1.6,6.3±1.0,5.5±0.7 points, Narcotic analgesics in the intraoperative remifentanil use was significantly less than group B （P〈0.05）. Conclusions Regional nerve block anesthesia applications can significantly reduced the patients＇ postoperative pain scale in different time point within 48 hours,but also significantly reduce the use of iatraoperati＇ce narcotic analgesic remifentanil