硬膜外阻滞复合气管内浅全麻2492例临床分析  

Clinical analysis of 2492 cases combined epidural block and light general anesthesia

作　　者：季煊[1] 李娟[1] 康芳[1] 殷惠新[1] 陈昆洲[1] 

机构地区：[1]安徽省立医院麻醉科,合肥230001

出　　处：《安徽医学》2003年第3期23-25,共3页Anhui Medical Journal

摘　　要：目的　评价硬膜外阻滞复合浅全麻 (CEB +GA)临床应用的技术特点和适应证。方法　回顾研究我院 2492例行CEB +GA的病人 ,其中男 15 2 0例 ,女 972例。麻醉方法均为硬膜外阻滞后行全麻诱导插管 ,术中镇痛和肌松以硬膜外阻滞麻醉为主。结果　与单纯全麻 (GA)相比 ,CEB +GA麻醉用药量少 ,苏醒快 ,拔管时间提前且插管过程中应激反应明显减轻。结论　CEB +GA麻醉方法应用于上腹部、胸部、老年人、小儿等手术安全有效且并发症少。Objective To assess the potential benefit and indications of employing a combined epidural block and light general anesthesia (CEB+GA) technique.Methods To review 2492 patients,among them 1520 men,972 women.The anesthetic method of them was that the endotracheal induction was begun after the institution of epidural block and intraoperative analgesia and muscle relaxation was mainly based on its epidural block. Results Compared with GA alone,CEB+GA reduced anesthetic agents,shortened recovery time,made extubation earlier and also attenuated the stress response during the intubation of GA oberviously.Conclusion CEB+GA is an efficiency and safety anesthetic method with less complications which can apply in upper abdominal,thoracic,genitourinary,pediatric surgery.

关 键 词：硬膜外阻滞 气管内浅全麻 临床应用 适应证 全麻诱导插管 临床分析 

分 类 号：R614[医药卫生—麻醉学]