中国继续医学教育
中國繼續醫學教育
중국계속의학교육
CHINA CONTINUING MEDICAL EDUCATION
2015年
21期
60-61
,共2页
不同麻醉方式%腹主动脉瘤腔%围手术期
不同痳醉方式%腹主動脈瘤腔%圍手術期
불동마취방식%복주동맥류강%위수술기
Different ways of anesthesia%Abdominal aortic aneurysm cavity%Perioperative period
目的:探究不同麻醉方式下行腹主动脉瘤腔内治的围手术期效果。方法以我院收治的270例 AAA 患者为研究对象,103例给予局部麻醉,采用硬膜外麻醉患者(EDA)54例,113例患者给予全身麻醉,观察三组患者治疗效果。结果 LA 组、EDA 组术后死亡率并无统计学意义(P >0.05)。GA 组术后并发症发生率均高于 EDA 组及 LA 组, GA 组肺部并发症比 LA 组高(P <0.05)。结论 EVAR 术采用局部麻醉有利于患者快速恢复,局部麻醉成为 EVAR 最佳的麻醉方式。
目的:探究不同痳醉方式下行腹主動脈瘤腔內治的圍手術期效果。方法以我院收治的270例 AAA 患者為研究對象,103例給予跼部痳醉,採用硬膜外痳醉患者(EDA)54例,113例患者給予全身痳醉,觀察三組患者治療效果。結果 LA 組、EDA 組術後死亡率併無統計學意義(P >0.05)。GA 組術後併髮癥髮生率均高于 EDA 組及 LA 組, GA 組肺部併髮癥比 LA 組高(P <0.05)。結論 EVAR 術採用跼部痳醉有利于患者快速恢複,跼部痳醉成為 EVAR 最佳的痳醉方式。
목적:탐구불동마취방식하행복주동맥류강내치적위수술기효과。방법이아원수치적270례 AAA 환자위연구대상,103례급여국부마취,채용경막외마취환자(EDA)54례,113례환자급여전신마취,관찰삼조환자치료효과。결과 LA 조、EDA 조술후사망솔병무통계학의의(P >0.05)。GA 조술후병발증발생솔균고우 EDA 조급 LA 조, GA 조폐부병발증비 LA 조고(P <0.05)。결론 EVAR 술채용국부마취유리우환자쾌속회복,국부마취성위 EVAR 최가적마취방식。
Objective To explore the different ways of anesthesia downward abdominal aortic aneurysm cavity effect of perioperative cure. Methods In our hospital 270 cases of patients with AAA as the research object, 103 cases of local anesthesia, using epidural anesthesia (EDA) of 54 patients, 113 patients were given general anesthesia, to observe the effect of three groups of patients. Results LA group, the EDA group <br> postoperative mortality, there is no statistical significance (P>0.05). Postoperative complication rates were higher than in EDA group and GA group LA group and GA group of pulmonary complications is higher than LA group (P<0.05). Conclusion EVAR technique using local anesthesia for patients with fast recovery, become the local anesthetic EVAR best way of anesthesia.