TITLE:
Progress in Analgesic-Sedative Treatment in Perioperative Period of Hypertensive Intracerebral Hemorrhage
AUTHORS:
Gang Yang
KEYWORDS:
Hypertensive Intracerebral Hemorrhage, Postoperative Period, Analgesic-Sedative Treatment
JOURNAL NAME:
Surgical Science,
Vol.13 No.7,
July
20,
2022
ABSTRACT: Hypertensive
intracerebral hemorrhage (HICH) refers to intra cerebral hemorrhage at basal
ganglia, thalamus, ventricle, cerebellum and brainstem in patients
with history of explicit hypertension disease, excluding secondary cerebral hemorrhage
caused by trauma, vascular structural disorders, coagulation disorders, hematologic
diseases, systematic diseases and neoplastic diseases. HICH is characteristic
of high morbidity, fatality rate, disability rate and recurrence rate. HICH is
the most common type of spontaneous cerebral hemorrhage and various surgical
interventions are one of the major treatments for HICH. Surgical treatment is to
eliminate hematoma, relieve oppression of hematoma on surrounding brain
tissues, lower intracranial pressure and alleviate secondary brain tissue
damages, thus enabling to decrease fatality rate of patients and improve the
long-term quality of life. Patients with HICH often may have different degrees
of coma, pains, dysphoria, anxiety and delirium in the postoperative period.
After central pivot was damaged, the sympathetic central excitability spreading
is strengthened in the state of cortical inhibition, which also might be
accompanied by paroxysmal sympathetic hyperexcitation syndrome to
strengthen disease conditions of patients and thereby influence subsequent
treatment. Several professional guidelines all recommend analgesic-sedative
treatment as an important component of ICU therapy. However, it lacks support
by large sample sized clinical research results of analgesic-sedative treatment
of HICH in the postoperative period. This study analyzed literature concerning analgesic-sedative
treatment of HICH in the postoperative period in recent years, aiming to guide
specific clinical implementation.