观察腰-硬联合麻醉对老年患者血流动力学的影响  

Hemodynamic responses in the elderly patients undergoing combined spinal-epidural anesthesia

作　　者：李扬亿[1] 陈如霜[1] 

机构地区：[1]福建医科大学附属泉州第一医院麻醉科,362000

出　　处：《中国医疗前沿》2012年第3期46-46,37,共2页China Healthcare Innovation

摘　　要：目的观察腰-硬联合麻醉对老年患者血流动力学的影响。方法选择30例择期行下肢、下腹部外科手术的老年患者,于L3-L4行腰硬联合麻醉,对麻醉前(T0)、麻醉后5min(T1)、10min(T2)、20min(T3)、30min(T4)患者的心率(HR)、平均动脉压(MAP)、心排血量(CO)等测量值进行比较,并测量麻醉后的平面。结果所有患者腰麻效果均满意。与麻醉前相比较麻醉后患者的HR、MAP和CO有所下降,但变化差异无统计学意义(P>0.05)。麻醉平面在T8及以下的达93.4%。结论经L3-L4行腰-硬联合麻醉对老年患者血流动力学影响较小。Objective To observe the hemodynamic responses in the elderly patients undergoing combined spinal-epidural anesthesia（CSEA）.Methods Thirty patients,ASA Ⅰ-Ⅲ,aged 65 to 82 years,scheduled for with CSEA through L3-4,were selected undergoing under abdominal and the lower limbs surgery.Mean blood pressure（MBP）,heart rate（HR） and cardiac output（CO） were measured before CSEA（T0）,5min（T1）,10min（T2）,20min（T3）,30min（T4） after CSEA.Result All patients were satisfied with the effects of anesthesia.To compared with T0,the variation of patients＇ MBP,HR and CO of patients at T1-T4 were no significant difference.There were 28 patients＇ anesthesia level under T8.Conclusion Combined spinal-epidural anesthesia through L3-4 is safe for aged patient.

关 键 词：无创血流动力学 腰-硬联合麻醉 老年 

分 类 号：R614.2[医药卫生—麻醉学]