中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2014年
25期
16-17
,共2页
硬膜外复合全身麻醉%老年患者%应激反应
硬膜外複閤全身痳醉%老年患者%應激反應
경막외복합전신마취%노년환자%응격반응
Epidural composite general anesthesia%Elderly patients%Stress response
目的：探讨不同麻醉方式对老年腹腔镜结直肠手术患者的影响。方法100例腹腔镜下结肠癌或直肠癌根治术患者随机分为吸入全身麻醉组(I组)和硬膜外复合吸入全身麻醉组(C组)，每组50例。分别于术前、术后30 min、术后3 h采用运动活动评分(MAAS)评估镇静程度，并在相应时间点采静脉血样检测血糖(Glu)、皮质醇(Cor)、去甲肾上腺素(NE)、肾上腺素(E)。结果 C组患者术后30 min MAAS评分明显低于I组(P<0.05)， I组术后30 min、术后3 h Cor、Glu、NE、E明显高于术前及C组(P<0.05)。结论硬膜外复合全身麻醉有助于提高患者苏醒质量并减轻应激反应，适用于老年患者行腹腔镜结直肠手术。
目的：探討不同痳醉方式對老年腹腔鏡結直腸手術患者的影響。方法100例腹腔鏡下結腸癌或直腸癌根治術患者隨機分為吸入全身痳醉組(I組)和硬膜外複閤吸入全身痳醉組(C組)，每組50例。分彆于術前、術後30 min、術後3 h採用運動活動評分(MAAS)評估鎮靜程度，併在相應時間點採靜脈血樣檢測血糖(Glu)、皮質醇(Cor)、去甲腎上腺素(NE)、腎上腺素(E)。結果 C組患者術後30 min MAAS評分明顯低于I組(P<0.05)， I組術後30 min、術後3 h Cor、Glu、NE、E明顯高于術前及C組(P<0.05)。結論硬膜外複閤全身痳醉有助于提高患者囌醒質量併減輕應激反應，適用于老年患者行腹腔鏡結直腸手術。
목적：탐토불동마취방식대노년복강경결직장수술환자적영향。방법100례복강경하결장암혹직장암근치술환자수궤분위흡입전신마취조(I조)화경막외복합흡입전신마취조(C조)，매조50례。분별우술전、술후30 min、술후3 h채용운동활동평분(MAAS)평고진정정도，병재상응시간점채정맥혈양검측혈당(Glu)、피질순(Cor)、거갑신상선소(NE)、신상선소(E)。결과 C조환자술후30 min MAAS평분명현저우I조(P<0.05)， I조술후30 min、술후3 h Cor、Glu、NE、E명현고우술전급C조(P<0.05)。결론경막외복합전신마취유조우제고환자소성질량병감경응격반응，괄용우노년환자행복강경결직장수술。
Objective To investigate the influence of different anesthesia methods on elderly patients undergoing laparoscopic colorectal surgery. Methods A total of 100 cases of laparoscopic resection of colon or colorectal cancer were randomly divided into the inhalation general anesthesia group (group I) and epidural composite general anesthesia group (Group C), and each group contained 50 cases. Motion activity assessment scale (MAAS) was applied to assess the degree of sedation, blood glucose (Glu), cortisol (Cor), norepinephrine (NE) and epinephrine (E) before surgery and 30 min and 3 h after surgery. Results MAAS score of group C was obviously lower than that of group I (P<0.05). The levels of Glu, Cor, NE and E of group I after 30 min and 3 h of surgery were all higher than those score before the surgery and those of group C (P<0.05). Conclusion Epidural composite general anesthesia can improve awaking quality and reduce stress reaction, and is suitable for laparoscopic colorectal surgery of elderly patients.
