Clinical Application of Scalp Nerve Block Combined with Sevoflurane in Craniotomy

Kang Qing Le; Li Ya Ping

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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.

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.

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Clinical Application of Scalp Nerve Block Combined with Sevoflurane in Craniotomy

Kang Qing Le ¹,
Li Ya Ping ²

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

Abstract

Abstract

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.
- Scalp nerve block,
- Sevoflurane,
- Craniotomy

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References(17)

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