CAJ | 학술논문

目的观察全身麻醉复合硬膜外阻滞时围拔管期心血管的反应.方法对40例气管插管全麻下手术患者,随机分成复合组与对照组,每组20例,两组麻醉前用药、麻醉诱导和维持方法相同,分别观察记录两组术前、拔管前5 min、吸痰拔管时,拔管后5 min的心率(HR)、收缩压(SBP)、舒张压(DBP).结果对照组围拔管期心血管反应强烈,在吸痰拔管时、拔管后5 min的HR、SBP、DBP明显高于拔管前5 min和复合组,以吸痰拔管时最为明显.复合组仅在吸痰拔管时HR、SBP升高,拔管后5 min基本恢复,DBP变化不明显.结论全麻复合硬膜外阻滞时围拔管期心血管反应或心脑血管意外等并发症的发生有一定的预防作用.对原有高血压、冠心病患者尤为有益.
목적 관찰전신마취복합경막외조체시위발관기심혈관적반응.방법 대40례기관삽관전마하수술환자,수궤분성복합조여대조조,매조20례,량조마취전용약、마취유도화유지방법상동,분별관찰기록량조술전、발관전5 min、흡담발관시,발관후5 min적심솔(HR)、수축압(SBP)、서장압(DBP).결과 대조조위발관기심혈관반응강렬,재흡담발관시、발관후5 min적HR、SBP、DBP명현고우발관전5 min화복합조,이흡담발관시최위명현.복합조부재흡담발관시HR、SBP승고,발관후5 min기본회복,DBP변화불명현.결론 전마복합경막외조체시위발관기심혈관반응혹심뇌혈관의외등병발증적발생유일정적예방작용.대원유고혈압、관심병환자우위유익.
Objective To observe the cardiovascular reactions to general anesthesia combined with epidural block surrounding extubation. Methods Forty patients were divided into the general anesthesia plus epidural block group(group Ⅰ) and general anesthesia group (group Ⅱ) randomly. Each group had 20 patients. The two groups were given the same preanesthetic medication,anesthesia induction and maintenance. HR, SBP and DBP of two groups before operation,5 minutes before extubation,during extubation and 5 minutes after extubation were monitored and recorded respectively. Results The cardiovascular reactions were more intensive in group Ⅱ which had higher HR, SBP and DBP during extubation and 5 minutes after extubation than 5 minutes before extubation and than group Ⅰ. HR and SBP in group Ⅰ rised only during extubation and recovered 5 minutes after extubation and DBP had no significant change. Conclusion General anesthesia combined with epidural block had certain prophylaxis effects on the complications such as cardiovascular reaction and cardiocerebrovascular accident surrounding extubation. It was much more helpful to patients with hypertension or coronary artery disease.