高龄肿瘤患者的麻醉处理及效果评价  

Anesthetic Management for the Aged Patients with Tumour

作　　者：赖恩华[1] 黄冰[1] 黄宇[1] 阮林[1] 潘灵辉[1] 钱卫[1] 顾永辉[1] 黎阳[1] 

机构地区：[1]广西医科大学附属肿瘤医院麻醉科,广西南宁530021

出　　处：《四川肿瘤防治》2006年第3期172-174,177,共4页Sichuan Journal of Cancer Control

摘　　要：目的:探讨高龄肿瘤患者手术的麻醉处理并评价其效果。方法:52例高龄患者随机分为2组。A组(n=28)采用硬膜外麻醉,B组(n=24)采用全身麻醉。比较:(1)MBP、HR、RR、SpO2变化;(2)镇静镇痛、肌松情况、牵拉反射情况以及麻醉效果;(3)术后并发症发生情况。结果:B组MBP、HR、RR、SpO2明显比A组平稳;镇静镇痛、肌松情况及麻醉效果B组比A组优越;术后呼吸道感染B组发生较多。结论:高龄肿瘤患者的麻醉方法选择须谨慎进行,麻醉效果以全麻为好,但要注意防治呼吸道并发症。Objective： To explore the anesthetic management for the aged patients with tumour and evaluate the anesthetic efficacy. Methods： 52 patients aged 75 years or older were divided into 2 groups randomly. Group A （ n = 28） underwent operation with epidural anesthesia and group B （ n =24） with general anesthesia. Analysis included： （ 1 ）The changes of MBP、HR、RR、SpO2. （2）The effect of sedation and analgesia, muscle relaxation, anesthesia effect, and reflexes of operating traction. （3）Postoperative complications. Results： The MBP.HR.RR.SpO2 in group B were more steady significantly than those in group A. The effect of sedation analgesia, muscle relaxation and anesthesia in group B were better than those in group A. The incidence of infection in respiratory tract in group B was significantly higher than that in group A. Conclusion： The anesthetic effect of general anesthesia was better than that of epidural anesthesia for aged patients with tumor, but complications of respiratory tract need to be prevented and treated.

关 键 词：高龄病人 全身麻醉 硬膜外麻醉 

分 类 号：R614[医药卫生—麻醉学]