Comparison of Application of Combined Intravenous Anesthesia and Total Intravenous Anesthesia in Craniotomy Exploration and Hematoma Re-moval for Severe Craniocerebral Trauma
Objective To compare the effect of combined anesthesia with intravenous anesthesia in craniotomy explo-ration and hematoma removal for severe craniocerebral trauma.Methods A total of 50 patients with severe craniocere-bral trauma who underwent exploratory craniotomy and hematoma removal in Zhangping Hospital of Fujian Province from April 2022 to April 2023 were simple and randomly selected as the study objects,and they were divided into the study group and the control group according to a random number table method,with 25 cases in each group.The con-trol group was given intravenous anesthesia,and the study group was given intravenous combined anesthesia.Hemody-namic indexes,postoperative recovery and anesthesia adverse reactions were compared between the two groups at dif-ferent time points.Results The time of spontaneous respiratory recovery,extubation and resuscitation in the study group was(6.17±1.29)min,(10.22±2.18)min and(6.06±1.08)min,which were shorter than(8.55±1.41)min,(15.25±3.03)min and(10.12±1.98)min in the control group,and the differences were statistically significant(t=6.227,6.738,20.373,all P<0.05).There were no significant differences in mean arterial pressure and heart rate before anesthesia between the two groups(both P>0.05).At the time point of incision,the mean arterial pressure and heart rate of the two groups were significantly improved than those before anesthesia,and the mean arterial pressure and heart rate of the study group were better than those of the control group,and the differences were statistically significant(both P<0.05).The mean arterial pressure and heart rate indicators of the two groups at the time of dural incision and 12 h af-ter surgery were significantly improved than those at the time of skin incision,and the study group were better than those in the control group,and the differences were statistically significant(both P<0.05).The incidence of adverse re-actions in study group(4.00%)was lower than that in control group(24.00%),and the difference was statistically sig-nificant(χ2=4.153,P<0.05).Conclusion The effect of intravenous anesthesia combined with intravenous anesthesia in the operation of craniotomy exploration and hematoma removal for severe craniocerebral trauma is better than that of intravenous anesthesia.
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