Kang Qing Le , Li Ya Ping . Clinical Application of Scalp Nerve Block Combined with Sevoflurane in Craniotomy[J]. Journal of Kunming Medical University, 2016, 37(12): 72-75.
Citation: Kang Qing Le , Li Ya Ping . Clinical Application of Scalp Nerve Block Combined with Sevoflurane in Craniotomy[J]. Journal of Kunming Medical University, 2016, 37(12): 72-75.

Clinical Application of Scalp Nerve Block Combined with Sevoflurane in Craniotomy

Funds:

基金: 广东省医学科学技术研究基金资助项目(E201403558);

  • Received Date: 2016-09-10
  • Objective To explore the application efficacy of scalp nerve block combined with sevoflurane in craniotomy.Methods Fifty-five patients undergoing craniotomy in pingdingshan second people's hospital of henan province from Mar 2013 to Mar 2015 were randomly divided into observation group(n=28) and control group(n =27).The scalp nerve block combined with sevoflurane was performed in observation group and the sevoflurane intravenous inhalational combined with sufentanil was performed in control group.The changes of MAP and HR were observed before induction,5min after induction,skin incision,break the meninges,operation end and 5min after catheter removal.The agitation scale after operation,anesthesia duration,awaking time and dosage of sufentanil were compared.Results MAP and HR at skin incision,break the meninges,operation end and5 min after catheter removal in control group were significantly increased than those before operation, and significantly higher than those in observation group at same stage of operation, with statistically significancedifferences(P <0.05).The agitation scale of observation group was lower than that of control group, with statistically significance difference(P <0.05).There was no significance difference between two groups in anesthesia duration(P>0.05),the awaking time in observation group was significantly shorter than that in control group and the dosage of sufentanil was significantly reduced in observation group(P<0.05).Conclusion Scalp nerve block combined with sevoflurane used in craniotomy has advantages in stable vital signs,rapid awaking,less dosage of sufentanil and lower score of agitation,which is suitable for clinical application.
  • loading
  • [1]徐海华,盛绚宇,于海涛,等.舒芬太尼对颅脑手术患者麻醉诱导期间血流动力学及应激反应的影响[J].中国现代医生,2015,53(13):118-121.
    [2]熊振辉,马建军.全凭静脉麻醉和静吸复合全麻在颅脑手术中应用效果分析[J].2013,10(20):77-79,84.
    [3]
    [3]PAPANGELOU A,RADZIK B R,SMITH T,et al.A review of scalp blockade for cranial surgery[J].J Clin Anesth,2013,25(2):150-159.
    [4]付小武,孙研炜.瑞芬太尼复合丙泊酚麻醉在颅脑手术中的应用[J].吉林医学,2013,34(10):1867-1868.
    [5]陈美红,谢柳昭,李刚.罗哌卡因用于阻滞头皮神经的效果护理探讨[J].临床医学工程,2013,20(2):243-244.
    [6]赵卫兵.罗哌卡因头皮神经阻滞在开颅手术中的应用[J].四川医学,2011,32(11):1730-1731.
    [7]
    [7]KIM H S,LEE S J,KIM C S,et al.Effect of triamcinolone added to scalp nerve block for postoperative pain management of Moyamoya disease[J].Korean J Anesthesiol,2011,61(2):173-174.
    [8]曾横宇,张曦,程灏,等.头皮神经阻滞在脑功能区手术中的镇痛作用[J].中国康复理论与实践,2010,16(8):725-727.
    [9]张新疆,聂晓飞.神经外科全麻后复苏患者恢复期间躁动原因与处理[J].中国实用医药,2012,7(6):56-57.
    [10]王勇.舒芬太尼对脑外科麻醉诱导时血流动力学的影响[J].中国实用神经疾病杂志,2013,16(16):27-28.
    [11]孔素梅.外伤性颅内血肿清除术应用舒芬太尼麻醉的效果观察[J].中国实用神经疾病杂志,2015,18(15):127.
    [12]马树勇,赵永忠.左旋布比卡因头皮神经阻滞在开颅手术中的应用[J].中国临床研究,2014,27(5):533-534,536.
    [13]聂继英,李建华,李艳,等.丙泊酚复合舒芬太尼在经DSA行脑动脉瘤栓塞术中的效果评价[J].江西医药,2014,49(6):538-539.
    [14]李宗艳,刘鑫,孙福德.头皮神经阻滞联合七氟醚麻醉在小儿钻孔引流术中的应用[J].重庆医学,2013,42(26):3110-3111.
    [15]聂芳,王安奎,周颖,等.罗哌卡因头皮神经阻滞在高血压脑出血开颅术中的应用[J].中国临床研究,2013,26(4):376-377.
    [16]文四成,陈潜沛,欧阳天纬,等.不同浓度罗哌卡因用于超声引导下肌间沟臂丛神经阻滞的麻醉效果[J].临床麻醉学杂志,2014,30(5):472-475.
    [17]谢柳昭,李刚.罗哌卡因用于头皮神经阻滞效果的护理对策[J].中外医学研究,2013,11(13):74-75.
  • Relative Articles

    [1] Yi GONG, Wenkui YANG, Lin LIU, Dongyu ZHAI. Efficacy of Neuroendoscopic Surgery in the Treatment of Intraventricular Hemorrhage. Journal of Kunming Medical University, 2023, 44(8): 91-94.  doi: 10.12259/j.issn.2095-610X.S20230814
    [2] Yunli YANG, Na LI, Changming QIU, Junjie PU, Wei NIE, Zhigui LI. Effect of Ultrasound-guided Transmuscular Quadratus Lumborum Block for Postoperative Analgesia in Pediatric Patient Undergoing Hip Surgery. Journal of Kunming Medical University, 2023, 44(4): 88-92.  doi: 10.12259/j.issn.2095-610X.S20230426
    [3] Xiansong LU, Dongyan GUO, Fei QIAO. Comparison of Analgesic Level of Ultrasound-guided Paravertebral,Erector Spinae and Serratus Anterior Plane Blocks in Thoracic Surgery. Journal of Kunming Medical University, 2022, 43(12): 142-146.  doi: 10.12259/j.issn.2095-610X.S20221226
    [4] Wang Xing Yao , Qian Jin Qiao . . Journal of Kunming Medical University, 2020, 41(08): 46-51.
    [5] Fang Chu Long , Li Ya Xiong , Wang Xiao Yan , Wang Zhao , Wang Yi , Zhou Cai Qin , Yan Ming Liang , Li Shu Xi , Liu Bi . . Journal of Kunming Medical University, 2020, 41(04): 137-141.
    [6] Fang Chu Long , Li Ya Xiong , Wang Xiao Yan , Wang Yi , Wang Zhao , Wan Zi Lin , Lin Li , Zhou Cai Qin , Liu Bi . . Journal of Kunming Medical University, 2020, 41(09): 56-61.
    [7] Zhou Yin Yan , Zhang Yu , Bai Wen Ya , Shen Yan Juan , Shao Jian Lin , Zhao Guo Liang . . Journal of Kunming Medical University, 2020, 41(07): 64-70.
    [8] Wang Jiong , Zhang Xian Zheng . . Journal of Kunming Medical University, 2019, 40(09): 114-119.
    [9] Liu Li Li , Yang Biao , Zhang Han , Yang Wen Jie , Zhang Fu Rong . . Journal of Kunming Medical University, 2019, 40(01): 96-100.
    [10] Yang Juan , Zhang Jun , Huang Rui Ping , Jiao Shu Lan , Wang Xiao Wei , Si Yong Yu . . Journal of Kunming Medical University, 2017, 38(02): 99-103.
    [11] Deng Li Qiang . Comparison of the Effects of Sevoflurane and Propofol on One Lung Ventilation Induced Ischemia-Reperfusion Injury. Journal of Kunming Medical University,
    [12] Chen Yong Lun . . Journal of Kunming Medical University,
    [13] Yang Juan . . Journal of Kunming Medical University,
    [14] Jiao Shu Lan . . Journal of Kunming Medical University,
    [15] Zhang Ming . . Journal of Kunming Medical University,
    [16] Fan Dan . . Journal of Kunming Medical University,
    [17] Wang Hong Wei . . Journal of Kunming Medical University,
    [18] Dong Jian Ping . . Journal of Kunming Medical University,
    [19] Yang Ya Qing . . Journal of Kunming Medical University,
    [20] . . Journal of Kunming Medical University,
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Article Metrics

    Article views (1798) PDF downloads(81) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return