CAJ | 학술논문

目的：探究全麻复合硬膜外麻醉应用于开胸手术中对患者术中及术后情况的影响。方法选取我院于2010年6月~2013年6月收治的接受开胸手术的患者80例，按照就诊时间顺序分成每组各40例的全麻加硬膜外阻滞组与全麻组。观察及对比两组患者术中及术后情况。结果全麻加硬膜外阻滞组较全麻组术中芬太尼用量减少，术后清醒拔管时间缩短，出现尿潴留的患者数多27.50%，出现肺部感染的患者数少30.00%（P<0.05）。结论采用全麻复合硬膜外麻醉应用于开胸手术中的临床效果较单纯采用全麻较为突出，术后清醒时间缩短且可达到一定的镇痛效果，同时使得术中及术中的安全性有了提升，值得推广并应用。
목적：탐구전마복합경막외마취응용우개흉수술중대환자술중급술후정황적영향。방법선취아원우2010년6월~2013년6월수치적접수개흉수술적환자80례，안조취진시간순서분성매조각40례적전마가경막외조체조여전마조。관찰급대비량조환자술중급술후정황。결과전마가경막외조체조교전마조술중분태니용량감소，술후청성발관시간축단，출현뇨저류적환자수다27.50%，출현폐부감염적환자수소30.00%（P<0.05）。결론채용전마복합경막외마취응용우개흉수술중적림상효과교단순채용전마교위돌출，술후청성시간축단차가체도일정적진통효과，동시사득술중급술중적안전성유료제승，치득추엄병응용。
Objective To explore the anesthesia combined with epidural anesthesia in thoracic surgery impact on patients intraoperative and postoperative conditions. Methods Our hospital in June 2010 to June 2013 were treated 80 patients receiving thoracic surgery,according to the doctor each group is divided into chronological order plus epidural anesthesia group and 40 cases of general anesthesia group. Observation and comparison of the two groups of patients and postoperative conditions. Results Epidural anesthesia plus general anesthesia group than in the group intraoperative fentanyl reduce postoperative awake extubation time is shortened,the number of patients with more than 27.50%of urinary retention occurs,the number of patients with pulmonary infection appeared less 30.00% (P<0.05). Conclusion The use of general anesthesia combined with epidural anesthesia in thoracic surgery clinical results than the simple use of general anesthesia is more prominent,and can shorten recovery time after a certain analgesic effect,while making the surgery and intraoperative safety sex has improved,worthy of promotion and application.