摘要
目的:观察全麻联合硬膜外麻醉和单纯气管插管全麻应用于胸腹部外科手术的临床效果。方法:将80例患者随机分成两组,两组年龄、性别、体重及手术时间差异无显著性,ASA分级Ⅰ～Ⅱ级,两组患者术前用药和全麻用药相同。监测两组麻醉前、诱导时、术前、术毕、拔管及拔管后5分钟的SBP、DBP、HR和SpO2、PETCO2并进行记录。结果:全麻联合硬外组于诱导时、插管后及术中,SBP、DBP、HR波动少,相对稳定,与单纯气管插管全麻组差异有显著性(P<0.05)。全麻联合硬膜外麻醉组中全麻静脉药用量减少,术毕清醒拔管时间提前,且硬膜外阻滞有良好的止痛作用,明显减轻气管插管期间和术中的应激反应,而术后利用硬膜外管行术后镇痛,可减轻创口疼痛,提高安全性和康复质量。结论:全麻联合硬膜外麻的临床效果优异,适宜广泛用于胸腹部外科手术。
Objective：To evaluate the the efficacy of combined general-epidural anesthesia and general anethesia on the treatment of thoracic and abdominal diseases.Methods：80 patients were divided into twi groups randomly,There were no significant differences in age,gender,weight and operative time between two groups,ASA score was Ⅰ～Ⅱ,all patients received the same pre-medication and induction medicine,the patients＇SBP,DBP,HR and SpO2,PETCO2 were monitored.Results：The SBP,DBP,HR of the patients were more stable in experimental group than that in control group（P〈0.05）.A significant reduction in the dose requriment for induction and maintenance of anesthesia,the recovery was better in experimental group. Conclusion： Combined general-epidural anesthesia is effective and safe in thoracic and abdominal operation.
关键词
全身麻醉
硬膜外麻醉
气管插管全麻
胸腹部外科手术
general anesthesia
epidural anesthesia
intubation anesthesia
thoracic and abdominal operation
