单纯全麻和全麻复合硬膜外对心血管反应的影响  

Reaction of circulation system from general anesthesia and peridural anesthesia and general anesthesia

作　　者：刘勇[1] 赵原[1] 李秋爽[1] 

机构地区：[1]沈阳市第五人民医院麻醉科,辽宁沈阳110023

出　　处：《大连医科大学学报》2005年第3期204-205,208,共3页Journal of Dalian Medical University

摘　　要：[目的]观察全麻复合硬膜外麻醉的血液动力学变化。[方法]选60例下腹部手术的病例,随机分为单纯全麻(A组)和全麻复合硬膜外(B组)两组,每组30例,观察二组麻醉前、插管、切皮、探查、拔管时的SBP、DBP、MAP、HR的变化,记录呼吸恢复时间、拔管时间、恢复时间。[结果]两组中SBP、DBP、MAP、HR,A组变化较大,B组平稳,P<0.05或0.01,有显著性差异,各项苏醒时间A组长于B组。[结论]全麻复合硬膜外具有心血管反应较小、血液动力等平稳的优点,且苏醒迅速,无躁动。[Objective] To investigate the influencing of cardiac hemodynamics from general anesthesia and & peridural anesthesia.[Methods] A total of sixty patients with Lower abdomen operations, divides sixty patients into two groups in random allocation. A group: general anesthesia. B group: peridural anesthesia & general anesthesia. To study the difference of two groups SBP. DBP. MAP. HR before anesthesia, intubation, inci- sion, exploration and decannulation, and record the recovery time and decannulation time.[Results] Among of SBP. DBP. MAP. HR. B Group is smooth (P<0.01), but A Group Charges much (P<0.05). And the re- covery time A group is more than B group. [Conclusion] Peridural anesthesia & general anesthesia is better than single general anesthesia which has more influencing of circulatory system, cardiac hemodynamics. Patients wake later and usual restless.

关 键 词：全麻 硬膜外麻醉 心血管反应 

分 类 号：R614[医药卫生—麻醉学]