全麻复合硬膜外阻滞用于开胸手术的临床研究  

Clinical research of general anesthesia combined with epidural anesthesia for thoracic surgery

作　　者：马卫青[1] 王红杰[1] 陈熙[1] 

机构地区：[1]河北省职工医学院附属医院手术室,河北保定071000

出　　处：《河北职工医学院学报》2003年第1期12-14,共3页Journal of Hebei Medical College for Continuing Education

摘　　要：目的研究全麻复合硬膜外阻滞用于开胸手术时对机体循环、呼吸功能的影响及术后镇痛效果。方法监测围麻醉期病人的平均动脉压、心率、呼吸频率及脉搏血氧饱和度的变化 ,比较全麻组(Ⅰ组 )和全麻加硬膜外阻滞组(Ⅱ组 )病人的术后镇痛效果。结果(1)全麻加硬膜外阻滞组平均动脉压、心率相对稳定 ,与全麻组比较差异性非常显著(P<0 .01)。(2)全麻加硬膜外阻滞组呼吸平稳 ,血氧变化不明显 ,术后病人能及早咳嗽、排痰和深呼吸。全麻组术后血氧低于实验组(P<0.05)。(3)全麻加硬膜外阻滞组吸入麻醉药和肌松药用量少于全麻组(P<0 .05)。(4)全麻加硬膜外阻滞组术后镇痛效果优于全麻组(P<0 .05)。VAS评分全麻加硬膜外阻滞组低于全麻组(P<0 .01)。结论全麻加硬膜外阻滞用于开胸手术能较好地维持循环、呼吸功能 ,并有良好的术后镇痛效果 ,抑制机体的应缴反应 。Objective To investigate the effects of general anesthesia combined with epidural anesthesia on thoracic surgery.Methods Thirty-four patients scheduald for elective thoracic surgery were randomly divided into two groups.The patients in groupⅠwere received general anesthesia and the patients in group Ⅱreceived general anesthesia combined with epidural anesthesia. Hemodynamics and the function of respiratory were monitored and the effects of postoperative analgesia were obsorved. Result In group ⅡMAP,HR and the respiratory were kept more stable. The effects of postoperative analgesia were better in group Ⅱas compared with that in group Ⅰ(P<0.01). Conclusion The gen_ eral anesthesia combined with epidural for thoracic surgery can help to maintain stable the hemodynamics and respiratory,improve the effects of the postoperative analgesia.

关 键 词：全麻加硬膜外阻滞 血流动力学 呼吸功能 术后镇痛 

分 类 号：R614.2[医药卫生—麻醉学]