连硬复合全麻对老年人胸腔手术循环变化的影响——不同浓度局麻药的对比  

Clinic Study of Circulation Change under Surgery and General Anesthesia in Elder Thoracic(Compared with Different Concentration of Local Anestheics)

作　　者：林财珠[1,2] 赵建英[1,2] 代元大[1,2] 

机构地区：[1]福建医科大学附属第一医院麻醉科 [2]福建医科大学麻醉学研究室,福州350005

出　　处：《福建医科大学学报》2000年第S1期38-40,共3页Journal of Fujian Medical University

基　　金：福建省卫生厅科研基金资助项目!( 960 11)

摘　　要：目的　研究连硬复合全麻不同局麻药浓度对老年人胸腔手术循环的变化。　方法　 6 0例老年人胸腔手术 ,T4～ 5 硬膜外穿刺置管 ,局麻药分为 0 .375 %布比卡因 ( 组 )和 0 .5 %布比卡因 ( 组 ) ,首剂各为 8ml,90 m in后追加 4ml,以安氟醚 -笑气、万可松维持浅全麻下 ,观察连硬后、插管 2 m in、切皮时、进胸探查、进胸 30 min、进胸 6 0 m in、关胸后10 min的 SBP、DBP、HR、NE、E、MAC的变化以及应用升压药情况。　结果　 组在整个手术过程循环变化明显 ,而 组仅在探查后变化明显 ,且幅度不如 组 ,同期变化比较无差异。　结论　连硬复合全麻时不同浓度布比卡因对老年人胸腔手术循环功能影响不同 ,浓度不宜超过 0 .375 %。Objective\ Circulative change were studied in elder thoracic surgery under epidural and general anesthesia with different concentration local anesthetics.\ Methods\ 60 elder thoracic were divided into 0 375% bupivacian and 0 5% bupivacian groups.\ The changes of SBP,DBP,HR,NE,E,MAC were mornitored in after epidural anesthesia,after intubation 2 min,incision,open thoracic cavity,after 30 min,60 min and after closed thoracic cavity 10 min.\ Results\ The changes of circulation were more prominent in groups 0...

关 键 词：连续硬膜外复合全身麻醉 老年人 心血管系统 

分 类 号：R614[医药卫生—麻醉学]