全凭静脉麻醉和硬-腰联合阻滞麻醉对直肠温度的影响  

Effects of total intra-venous anesthesia and combined epidural-subarachnoid anesthesia on rectal temperature

作　　者：麻伟青[1] 李棋[1] 于涛[1] 李文锋[1] 

机构地区：[1]成都军区昆明总医院麻醉科,成都610000

出　　处：《医学信息（手术学分册）》2007年第9期780-781,共2页Medical Information Operations Sciences Fascicule

摘　　要：目的观察全凭静脉麻醉与硬-腰联合阻滞不同麻醉方式对患者围术期直肠温度的影响。方法顺序选择ASAI或Ⅱ级全凭静脉麻醉下行择期腹腔镜胆囊切除术患者50例(全凭静脉麻醉组)与硬-腰联合阻滞麻醉下行胫腓骨手术患者50例(硬-腰联合阻滞组),连续观察两组围术期直肠温度及生命征变化。结果两组直肠温度麻醉后逐步下降,术毕值与术前值比较差异有显著性(P<0.05),全麻组下降幅度(1.60±0.16)℃明显大于硬-腰联合阻滞麻醉组(1.04±0.01)℃(P<0.05);生命征组间比较无显著性差异(P>0.05)。结论全凭静脉麻醉与硬-腰联合阻滞麻醉均可降低患者围术期直肠温度,前者较后者明显。Objective To observe the effects of total intra - venous anesthesia and combined epidural - subarachnoid block on perioperative rectal temperature of patients. Methods Fifty patients with ASA I or II undergoing elective laparoscopic cholecystectomy under total intra - venous anesthesia and fifty patients undergoing elective tibia - fibula operation under combined epidural - subarachnoid block were divided into 2 groups. The changes of rectal temperature and vital signs were consecutively monitored from induction of anesthesia to 2 hours after operation. Results The rectal temperature of two groups decreased gradually after anesthesia. There was a significant difference in temperature before and after surgery. Decreasing amplitude of rectal temperature in patients with total intra - venous anesthesia was significant higher than that in combined epidural - subarachnoid block patients（ P 〈 0.05 ）. The vital sings of two grougs were stable. Conclusions Both total intra - venous anesthesia and combined epidural - subarachnoid block can reduce rectal temperature of patients, but the former is more than the later.

关 键 词：全凭静脉麻醉 硬-腰联合麻醉阻滞 直肠体温 

分 类 号：R614[医药卫生—麻醉学]