摘要
目的：讨论肌肉松弛剂在颅脑手术中的应用，以最大限度降低麻醉过程中各种刺激所造成的心血管功能的不良反应和颅内压的进一步升高。方法：60例拟作颅脑手术病人，随机分A组（肌松剂使用组n=30）；B组（不使用肌松剂组n＝30），观察两组插管后，调整体位，手术中心血管功能变化以间接反应对颅内压的影响．结果：两组病倒插管后，调整体位及术中心血管功能状态测定值相差SBP（5．6±0．53）kPa，DBP（4．4±0．26）kPa，HR（12±4）bpm有较明显差异P<0．05．结论：肌松剂在不同时间内使用能对心血管功能起到稳定作用并适当地防止颅内压进一步升高。
Objective: The muscle relaxant was used during neural surgeon operation to depress adverse reaction of cardio vascular and further rise in the intranial pressure caused by various stimuli. Method: 60 cases were randomly divided into Gronp A (n=30) given relaxant and Group B (n=30) without relaxant After the intubation in both groups and the posture adjustment, we observed the functional changes in cardio vascular which indirectly shows its reaction on intracranial pressurc. Results: SBP (5.6 ±0.5)kPa, DBP (4.4 ±0.26)kFa and HR (12 ± 4)bpm with significant difference (P<0.05). Conclusion: Muscle relaxant used in various time can play a steady role in the card io vascular and prevent the intracranial pressure from further rise.
出处
《黑龙江医药科学》
1999年第5期15-16,共2页
Heilongjiang Medicine and Pharmacy
