不同麻醉方法在大骨瓣减压手术治疗颅脑损伤患者中的麻醉效果对比观察及对应激反应的影响

Comparison of anesthetic effects of different anesthesia methods in patients with craniocerebral trauma treated by decompressive craniectomy and their effects on stress reaction

目的:探讨、研究大骨瓣减压手术治疗颅脑损伤患者中不同麻醉方法的麻醉效果对比、观察及对应激反应的影响。方法:收治采用大骨瓣减压手术治疗颅脑损伤的患者190例,平分两组。观察组在术中采取全屏静脉麻醉,对照组采取静吸复合麻醉,比较两组患者的麻醉效果以及患者的应激反应。结果:观察组的自主呼吸恢复、苏醒、言语应答、定向力恢复、拔管等时间以及麻醉维持前、手术结束后的各项应激反应指标均优于对照组,两组比较差异具有统计学意义(P<0.05)。结论:在大骨瓣减压手术治疗颅脑损伤患者中采用全屏静脉麻醉,有利于缩短患者术后苏醒时间,还能够有效抑制术中的各项应激反应。

Objective:To investigate the anesthetic effects of different anesthesia methods in the treatment of patients with traumatic brain injury treated by large bone flap decompression,and to compare the effects on the stress response.Methods:190patients with craniocerebral trauma treated by decompressive craniectomy were selected.They were divided into the two groups on average.The observation group was adopted in total intravenous anesthesia,and the control group adopted intravenous inhalation anesthesia.The anesthesia effect and patients'stress reaction in the two groups were compared.Results:The observation group of patients with spontaneous breathing recovery,recovery,verbal response,orientation recovery,extubation time,the indexes of stress reaction before and after anesthesia were all better than those of the control group,the differences between groups were statistically significant(P<0.05).Conclusion:The total intravenous anesthesia is helpful to shorten the recovery time and relieve the stress reaction in patients with craniocerebral trauma treated by decompressive craniectomy.