硬膜外阻滞复合全身麻醉在老年胸科手术中的临床应用研究  

Study on Clinical Application of Complex Epidural and General Anesthesia of Thoracic Surgery in Senile Patient

作　　者：时丽霞[1] 牛彦军[1] 李效微 黄晶莹 

机构地区：[1]绥化市第一医院,黑龙江绥化152000 [2]望奎县人民医院,黑龙江望奎152100

出　　处：《黑龙江医学》2006年第3期181-183,共3页Heilongjiang Medical Journal

摘　　要：目的探讨硬膜外阻滞复合全身麻醉用于老年胸科手术的麻醉效果,以及在术中血压(Bp)、心率(HR)的变化、术后的恢复情况,验证其对术后通气功能的影响及麻醉的安全性。方法60例老年胸科手术患者随机分为观察组(Ⅰ组n=30)和对照组(Ⅱ组n=30),Ⅰ组采用硬膜外阻滞复合全身麻醉的方法,Ⅱ组仅用全麻。结果两组病例麻醉效果满意,令麻药用量Ⅰ组比Ⅱ组明显减少,术毕至拔气管导管时间Ⅱ组比Ⅰ组延长,拔管后烦躁、躁动、疼痛的发生率Ⅰ组明显少于Ⅱ组,术后30 minⅠ组的动脉血氧分压高于Ⅱ组。结论硬膜外阻滞复合全身麻醉能有效减轻围手术期的应激反应,循环稳定,麻醉平稳,术毕清醒快,并发症少,有利于老年病人剖胸手术后呼吸功能的恢复,其麻醉效果及安全性优于单纯全麻。Objective To discuss the clinical application of complex epidural and general anesthesia of thoracic surgery in senile patient, The changes of Bp, HR, recovery after operation and ventilation were monitored. Methods 60 cases of senile thoracic surgery were divided into two groups randomly that the observing group （30） was underwent complex anesthesia and control group was underwent general anesthesia. Results Both group obtained good anesthesia effect and general anesthesia drug used less, extubation time and restless and pain in observing group than those in control group. Conclusion The complex anesthesia might reduce the stress reaction pefiopemtion with stable circulation and anesthesia, recovery soon and less complication for respiratory function. It might be better than the simple one.

关 键 词：麻醉学 硬膜外阻滞 全身麻醉 胸科手术 

分 类 号：R614.2[医药卫生—麻醉学]