CAJ | 학술논문

目的：探讨对于行胸部手术的患者给予其全身麻醉联合硬膜外麻醉的临床疗效。方法整群选取在2014年5月1日-2014年12月1日之间前来该院进行胸部手术的168例患者，±据其入院时间的先后顺序，随机分成对照组和实验组，每组有84例，对照组采用单纯全身麻醉术，实验组采用全身麻醉联合硬膜外麻醉，评估两组常规指标和麻醉情况。结果对照组患者术中和术后各项指标变化幅度较大，同时对照组患者的吸入麻醉药物用量为（33.5±4.2）mL、术中睁眼时间为（9.38±3.42）min和语言功能恢复时间为（17.68±6.41）min，均明显高于实验组的(16.3±2.1)mL、(6.02±2.14)min、(9.46±4.21)min。两组比较差异有统计学意义。结论对于实施胸外科手术中全身麻醉联合硬膜外麻醉的效果较好，安全性更高。
목적：탐토대우행흉부수술적환자급여기전신마취연합경막외마취적림상료효。방법정군선취재2014년5월1일-2014년12월1일지간전래해원진행흉부수술적168례환자，±거기입원시간적선후순서，수궤분성대조조화실험조，매조유84례，대조조채용단순전신마취술，실험조채용전신마취연합경막외마취，평고량조상규지표화마취정황。결과대조조환자술중화술후각항지표변화폭도교대，동시대조조환자적흡입마취약물용량위（33.5±4.2）mL、술중정안시간위（9.38±3.42）min화어언공능회복시간위（17.68±6.41）min，균명현고우실험조적(16.3±2.1)mL、(6.02±2.14)min、(9.46±4.21)min。량조비교차이유통계학의의。결론대우실시흉외과수술중전신마취연합경막외마취적효과교호，안전성경고。
Objective To explore the clinical effect of general anesthesia combined with epidural anesthesia for patients undergo-ing thoracic operation. Methods 168 patients who underwent thoracic operation in our hospital between May 1, 2014 and Decem-ber 1, 2014 were randomly divided into control group and experimental group according to the admission time with 84 in each group. Single general anesthesia and general anesthesia combined with epidural anesthesia was performed for them respectively. Conventional indexes and performing states of anesthesia were evaluated. Results Of the control group, the conventional indexes changed a lot during and after operation, what's more, its amounts of anesthetic drugs, duration of opening eyes on verbal com-mand, duration of Language function recovery was(33.5±4.2)ml, (9.38±3.42)min, (17.68±6.41)min, obviously higher than those of the experimental group (16.3±2.1)ml, (6.02±2.14)min, (9.46±4.21)min, and the differences were statistically significant. Con-clusion General anesthesia combined with epidural anesthesia for patients undergoing thoracic operation has good effect and high safety.