Effect of sevoflurane inhalation anesthesia for craniotomy in patients with cerebral protective effect of acute intracranial hemorrhage
10.3969/j.issn.1006-5725.2017.02.030
- VernacularTitle:七氟醚吸入麻醉对急性颅内出血开颅手术患者的脑保护作用
- Author:
Shouhe WU
;
Guoqiang ZHANG
;
Canhui WENG
- Keywords:
Sevoflurane;
Intracranial hemorrhage;
C-reactive protein;
Inflammation;
Intracranial pressure;
Neurological assessment
- From:
The Journal of Practical Medicine
2017;33(2):276-278
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the protective effect of sevoflurane on acute intracranial hemorrhage craniotomy patients. Methods 60 acute intracranial hemorrhage craniotomy surgery patients were randomly divid?ed into control and experimental group of 30 patients under general anesthesia to have craniotomy. The patients in control group was operated by propofol and remifentanil as a inhalation anesthesia ,while patients in experimental group received sevoflurane ,propofol and remifentanil as a mixed anesthesia. Then intracranial pressure ,serum C?reactive protein(CRP),serum S?100β,NSE,IL?6 and TNF?α levels of different time points were deternmined. Results Serum CRP in experimental group were significantly decreased than the control group(P<0.05)1 d af?ter operation. T0~T3 levels of serum S?100β,NSE,IL?6 and TNF?α in two groups were both increased(P <0.05),and the experimental group was significantly lower than the control group(P < 0.05). The intracranial pressure of control group was significantly higher than the experimental group(P < 0.05). Conclusion Sevoflu?rane has a brain protective role in inhibiting acute inflammation in intracranial hemorrhage craniotomy patients.
