CAJ | 학술논문

目的：探讨以小容量高浓度罗哌卡因行硬膜外阻滞麻醉与全麻复合用于老年病患实施腹部外科手术的效果。方法：选择44例逆行腹部外科手术治疗的老年病患，以硬膜外阻滞与全麻方案实施麻醉，随机分两组，Ⅰ组22例为罗哌卡因小容量高浓度，Ⅱ组22例为小容量常规浓度，对比两组病患麻醉效果。结果：两组硬膜外穿刺点比较，差异无统计学意义(P>0.05)；关腹时，Ⅰ组中1例(4.55%)患者追加了肌肉松弛药物，Ⅱ组中10例(45.45%)，两组比较差异有统计学意义(P<0.05)；术后，Ⅰ组呼吸恢复、拔管及清醒时间与Ⅱ组比较，差异均有统计学意义(P<0.05)；两组苏醒期间均未发生躁动反应。结论：临床医师为老年病患实施腹部手术时，采用小容量高浓度罗哌卡因进行硬膜外阻滞，同时开展全麻，可有效加快患者术后恢复，保证病患的安全，具有推广价值。
목적：탐토이소용량고농도라고잡인행경막외조체마취여전마복합용우노년병환실시복부외과수술적효과。방법：선택44례역행복부외과수술치료적노년병환，이경막외조체여전마방안실시마취，수궤분량조，Ⅰ조22례위라고잡인소용량고농도，Ⅱ조22례위소용량상규농도，대비량조병환마취효과。결과：량조경막외천자점비교，차이무통계학의의(P>0.05)；관복시，Ⅰ조중1례(4.55%)환자추가료기육송이약물，Ⅱ조중10례(45.45%)，량조비교차이유통계학의의(P<0.05)；술후，Ⅰ조호흡회복、발관급청성시간여Ⅱ조비교，차이균유통계학의의(P<0.05)；량조소성기간균미발생조동반응。결론：림상의사위노년병환실시복부수술시，채용소용량고농도라고잡인진행경막외조체，동시개전전마，가유효가쾌환자술후회복，보증병환적안전，구유추엄개치。
Objective:To explore the effect of small-capacity high concentrations of ropivacaine epidural anesthesia combined with general anesthesia for abdominal surgery in elderly patients.Method:Selected 44 cases of retrograde abdominal surgery in elderly patients,with epidural block anesthesia and general anesthesia scheme,they were randomly divided into two groups,group I 22 cases with small-capacity high concentrations,groupⅡ22 cases of small-capacity conventional concentration,compared anesthetic effect of two groups.Result:Two epidural puncture point,the difference was not significant(P>0.05);When the abdomen was closed,groupⅠhad 1 case(4.55%) were added muscle relaxant drugs,groupⅡhad 10 cases(45.45%),the comparison of two groups was no statistically significant difference(P<0.05);After operation,the respiration,extubation and recovery time of groupⅠwere less than groupⅡ(P<0.05);The agitated reaction of two groups did not appear in recovery period.Conclusion:Clinicians for the implementation of abdominal surgery in elderly patients,the use of high concentrations of small capacity ropivacaine for epidural anesthesia,while carrying out general anesthesia,which can effectively accelerate postoperative recovery,to ensure patient safety,is worth promoting.