吸入全麻复合胸段硬膜外阻滞用于开胸手术的临床观察  

Effects of cardio-vascular response during inhalation anesthesia vs epidural block for open chest surgery

作　　者：魏训科 李玉忠 

机构地区：516000,广东省惠州市人民医院麻醉科,广东,惠州 516000,广东省惠州市人民医院麻醉科,广东,惠州

出　　处：《现代医学仪器与应用》2005年第2期13-15,4,共4页

摘　　要：目的:比较吸入全麻复合胸段硬膜外阻滞与静吸复合麻醉用于开胸手术的临床效应与术后效果.方法:选择开胸手术60例,ASA 2～3级,年龄35～70岁病人,分为E、C二组,E组采用吸入全麻复合硬膜外阻滞麻醉30例;C组(对照组)采用静吸复合麻醉30例.两组全麻诱导相同.观察术期及恢复期的心血管反应,苏醒拔管及术后镇痛效果.结果显示:E组术中心血管反应BP,HR比C组低(P＜0.05);术毕苏醒拔管率,躁动发生率及术后镇痛效果,两组有明显差异(P＜0.05,P＜0.01).结论:吸入全麻复合硬膜外阻滞麻醉的围术期心血管反应小,术后早期拔管率高,术后镇痛效果优于静吸复合麻醉,具有安全实用意义.Objective: To compare the effects of cardio-vascular response and postoperative analgesia during inhalation anesthesia vs epidural block and intravenous-inhalation anesthesia for open chest surgery. Methods: Selected 60 cases for open chest surgery, ASA 2-3 classes, age from 35 to 70 years. patients were divided into two groups: Group E, n=30, received inhalation and epidural block (T7-8 or T8-9); Group C (control), n=30, received intravenous-inhalation anesthesia. The induction of general anesthesia were the same in both two groups. The data of cardio-vascular response, the time of extubation and post-analgesia were compared in both two groups. Results: There were more stable in cardio-vascular response in E group than group C (PO.05); Early extubation rate, fidget rate and postanalgesia were significant different between E and C groups (P<0.05, P<0.01 respectively). Conclusion: from above data, it indicated that effects of combing inhalation and epidural anesthesia for open chest surgery would be better than that of intravenous-inhalation anesthesia.

关 键 词：吸入全麻 硬膜外阻滞 静吸复合麻醉 心血管反应 术后镇痛 

分 类 号：R197.3[医药卫生—卫生事业管理]