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中华重症医学电子杂志 ›› 2017, Vol. 03 ›› Issue (04) : 296 -300. doi: 10.3877/cma.j.issn.2096-1537.2017.04.013

所属专题: 镇痛镇静 文献

综述

颅脑损伤患者镇痛镇静治疗的临床应用进展
王翠婷1, 杨翃1,()   
  1. 1. 510630 广州,南方医科大学第三附属医院重症医学科
  • 收稿日期:2017-03-18 出版日期:2017-11-28
  • 通信作者: 杨翃

Advance in clinical management of analgesia and sedation in patients with craniocerebral injury

Cuiting Wang1, Hong Yang1,()   

  1. 1. Department of Critical Care Medicine, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, China
  • Received:2017-03-18 Published:2017-11-28
  • Corresponding author: Hong Yang
  • About author:
    Corresponding author: Yang Hong, Email:
引用本文:

王翠婷, 杨翃. 颅脑损伤患者镇痛镇静治疗的临床应用进展[J]. 中华重症医学电子杂志, 2017, 03(04): 296-300.

Cuiting Wang, Hong Yang. Advance in clinical management of analgesia and sedation in patients with craniocerebral injury[J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2017, 03(04): 296-300.

在神经重症监护室,手术创伤及大量有创诊疗操作均可引起患者疼痛、躁动和兴奋,导致血压增高、心率增快,这些都会增加再出血、颅内压增高、导管脱落和误伤等风险。镇痛镇静治疗具有脑保护作用,能有效减轻患者的疼痛及身体不适感,减少应激,降低脑代谢,防止因疼痛引起的颅内压和血压增高。本文就颅脑损伤患者的镇痛镇静治疗作一综述。

In the neuro-intensive care unit, the surgical strikes and numerous invasive procedures make patients feel pain, agitation and activation, which results in hypertension and increased heart rates. This will increase the risk of rebleeding, intracranial hypertension, unexpectedly extubation, accidentally injures and so on. Sedation and analgesia play a critical role in protecting brain through pain and discomfort relieve, decreasing the stress and reducing brain metabolism to prevent intracranial hypertension and hypertension. We will review the impact of the therapy of analgesia and sedation in patients with craniocerebral injury in this paper.

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