CAJ | 학술논문

目的：探讨全身麻醉联合硬膜外阻滞麻醉深度的临床意义。方法收集我院胸外科手术患者80例，随机分成对照组和观察组患者各40例，对照组为单纯全身麻醉组，观察组为全身麻醉复合硬膜外阻滞组。结果观察组的SP、DP及HR在诱导后各时点明显低于诱导前，但对照组在切皮、插管、拔管、术中强刺激时点SP、DP及HR均较诱导前值升高。观察组吞咽反射恢复时间为（6±3）min，拔管时间为（7±2）min，清醒时间为（18±4）min；对照组观察组吞咽反射恢复时间为（13±2）min，拔管时间为（19±1）min，清醒时间为（33±3） min，两组比较有显著性差异（P＜0.05）。结论全身麻醉联合硬膜外阻滞较单纯全身麻醉深度好。
목적：탐토전신마취연합경막외조체마취심도적림상의의。방법수집아원흉외과수술환자80례，수궤분성대조조화관찰조환자각40례，대조조위단순전신마취조，관찰조위전신마취복합경막외조체조。결과관찰조적SP、DP급HR재유도후각시점명현저우유도전，단대조조재절피、삽관、발관、술중강자격시점SP、DP급HR균교유도전치승고。관찰조탄인반사회복시간위（6±3）min，발관시간위（7±2）min，청성시간위（18±4）min；대조조관찰조탄인반사회복시간위（13±2）min，발관시간위（19±1）min，청성시간위（33±3） min，량조비교유현저성차이（P＜0.05）。결론전신마취연합경막외조체교단순전신마취심도호。
Objective To investigate the clinical signiifcance of depth of general anesthesia with epidural anesthesia. Method 80 cases of operation patients in department of thoracic surgery in our hospital were randomLy divided into control group and observation group with 40 cases in each group, the control group with simple general anesthesia group, the observation group for general anesthesia combined with epidural block group. Results The group of SP, DP and HR in the induction of each time point after was signiifcantly lower than that before induction, but the control group in the skin incision, intubation, extubation, with strong stimulation at SP, DP and HR were increased in the observation group before induction, swallowing relfex recovery time was (6± 3) min, extubation time time was (7±2) min, (18±4) min, the control group the observation group swallowing relfex recovery time was (13±2) min, time of extubation time was (19±1) min, (33±3) min, there was a signiifcant difference between the two group (P<0.05). Conclusion General anesthesia combined with epidural block in a simple general anesthesia depth.