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目的:探讨对躁动型颅脑损伤患者更有效的镇静方法。方法:回顾性分析了两组分别用地西泮和丙泊酚进行镇静的患者资料,对急救有创操作和CT检查的时间进行比较。结果:使用丙泊酚进行镇静的患者完成气管插管、深静脉穿刺、CT检查所用时间均显著低于使用地西泮进行镇静的患者(P<0.05),使用丙泊酚进行镇静的患者住院期间MODS发生率及28天死亡率低于地西泮组,但差异无统计学意义。结论:对躁动型颅脑损伤患者急救期间使用丙泊酚能尽早使用抢救措施及尽快明确诊断。
Objective: To investigate the more effective sedation method in patients with agitation craniocerebral injury. Methods: The data of two groups of patients who were sedated with diazepam and propofol respectively were retrospectively analyzed. The time of emergency operation and CT examination were compared. Results: Tracheal intubation was performed in patients sedated with propofol. The duration of deep venipuncture and CT examination was significantly lower in patients sedated with diazepam (P <0.05). Patients sedated with propofol were hospitalized MODS incidence and 28-day mortality was lower than that of diazepam group, but the difference was not statistically significant. Conclusion: Propofol can be used as soon as possible during emergency treatment in patients with agitation craniocerebral injury and to confirm the diagnosis as soon as possible.