硬膜外阻滞麻醉复合全身麻醉预防气管内插管致心血管反应的意义  

CLINICAL SIGNIFICANCE OF EPIDURAL BLOCK COMBINED WITH GENERAL ANESTHESIA FOR PREVENTING THE CARDIOVASCULAR RESPONSE TO TRACHEAL INTUBATION

作　　者：刘良田[1] 杜雪江[1] 孟兴凯[2] 

机构地区：[1]内蒙古医学院附属医院麻醉科,内蒙古呼和浩特010050 [2]内蒙古医学院附属医院外科,内蒙古呼和浩特010050

出　　处：《内蒙古医学院学报》2007年第5期319-321,共3页Acta Academiae Medicinae Neimongol

基　　金：内蒙古自治区卫生厅项目(2005071)

摘　　要：目的：观察硬膜外阻滞麻醉复合全身麻醉预防气管插管心血管反应的临床效果及安全性。方法：对64例全麻气管内插管病人于全麻诱导前随机分为单纯全麻组（A组）和硬膜外阻滞麻醉复合全身麻醉组（B组），观察全麻诱导后及插管后1-10min心率、收缩压、舒张压和平均动脉压变化。结果：诱导后及插管后A组病人心率及平均动脉压明显高于B组（P〈0．05）；A组61．2％（21例）病例出现心动过速，B组为21．0％（7例），两者比较P〈0．05。结论：硬膜外阻滞麻醉复合全身麻醉预防气管插管所致心血管反应安全有效。Objective： To explore the safety of epidural block combined with general anesthesia for preventing the cardiovascular response to tracheal intubation. Methods：64 patients were randomly divided into two groups ： A group, single general anesthesia; B group, epidural block combined with general anesthesia. Heart rate,systolic and diastolic, and mean artery blood pressures（MAP） were measured following the induction and 1 to 10 minutes following the incubation. Results：The patients in the A groups had greater HR and MAP values after anesthesia induction and tracheal intubation than the patients in the B groups（ P 〈0.05）. The incidence of tachycardia after intubation was higher in the A group （61.2%） than in the B group （21.0%）. Conclusion：Epidural block combined with general anesthesia is effective and safe for preventing the haemodynamic response to tracheal intubation.

关 键 词：全麻 硬膜外阻滞麻醉 气管内插管法 

分 类 号：R971[医药卫生—药品]