CAJ | 학술논문

目的比较老年患者开胸食道癌切除术硬膜外阻滞复合全麻对患者循环呼吸系统的影响.方法将2010年1—12月52例行开胸食道癌切除的老年患者随机分为两组,A组支气管插管下全身麻醉,B组硬膜外阻滞镇痛及全麻气管插管.于切皮前5Min和拔管前后15Min、开启自控镇痛泵24h,记录血压、呼吸频率,镇痛评分.结果两组血压、呼吸的变化差异有统计学意义(P<0.05),B组拔管时的循环更稳定,呼吸更平稳,对全麻药的用量B组少于A组,术毕至拔气管的时间B组少于A组.结论对开胸食道癌切除术的老年患者,硬膜外阻滞联合支气管插管全麻能有效抑制全麻气管插管、拔管的心血管系统反应.
목적비교노년환자개흉식도암절제술경막외조체복합전마대환자순배호흡계통적영향.방법장2010년1—12월52례행개흉식도암절제적노년환자수궤분위량조,A조지기관삽관하전신마취,B조경막외조체진통급전마기관삽관.우절피전5Min화발관전후15Min、개계자공진통빙24h,기록혈압、호흡빈솔,진통평분.결과량조혈압、호흡적변화차이유통계학의의(P<0.05),B조발관시적순배경은정,호흡경평은,대전마약적용량B조소우A조,술필지발기관적시간B조소우A조.결론대개흉식도암절제술적노년환자,경막외조체연합지기관삽관전마능유효억제전마기관삽관、발관적심혈관계통반응.
Objective To observe the efficacy of epidural block coMbined withgeneral anesthesia (GEA)in old patients undergoing esophagus cancer resection.Methods Fifty-two patients scheduled for esophagus cancer resection were recruited. All patients were randoMized into twogroups ofgeneral anesthesia (GA,groupA)and epidural block coMbined withgeneral anesthesia (GEA,groupB).Bl00d pressure (BP)respiratory rate (RR)and visual aMbiguity score(VAS)were recorded at the saMe tiMe 5Minutes before skin incision,15Minutes before tracheal extubation,15Minutes after tracheal extubation,24hours after patient controlled epidural analgesia.Results Circulation and respiration ingroup B wre More stable thangroup A(P<0.05). ConclusiongEA can effectively reduce cardiovascular responses in old patients undergoing esophagus cancer recetion.