中国现代药物应用
中國現代藥物應用
중국현대약물응용
Chinese Journal of Modern Drug Application
2015年
22期
9-10
,共2页
胸部手术%全身麻醉%硬膜外阻滞
胸部手術%全身痳醉%硬膜外阻滯
흉부수술%전신마취%경막외조체
Thoracic operation%General anesthesia%Epidural anesthesia
目的 探讨在胸部手术中运用全身麻醉联合硬膜外麻醉的效果.方法 156例胸科手术患者随机分为对照组和观察组, 各78例.对照组给予全身麻醉, 观察组给予全身麻醉联合硬膜外麻醉.比较两组患者术前、术中、术后的收缩压(SBP)、舒张压(DBP)、平均动脉压(MAP)、心率(HR)、血氧饱和度(SpO2)以及拔管时间、自主呼吸恢复时间、完全清醒时间、术后不良反应发生率.结果 观察组术中、术后SBP、DBP、MAP、HR监测指标低于对照组, 观察组拔管时间、自主呼吸恢复时间、完全清醒时间短于对照组, 不良反应发生率低于对照组, 差异均有统计学意义(P<0.05).结论 全身麻醉联合硬膜外麻醉应用在胸部手术中, 效果显著, 值得临床推广应用.
目的 探討在胸部手術中運用全身痳醉聯閤硬膜外痳醉的效果.方法 156例胸科手術患者隨機分為對照組和觀察組, 各78例.對照組給予全身痳醉, 觀察組給予全身痳醉聯閤硬膜外痳醉.比較兩組患者術前、術中、術後的收縮壓(SBP)、舒張壓(DBP)、平均動脈壓(MAP)、心率(HR)、血氧飽和度(SpO2)以及拔管時間、自主呼吸恢複時間、完全清醒時間、術後不良反應髮生率.結果 觀察組術中、術後SBP、DBP、MAP、HR鑑測指標低于對照組, 觀察組拔管時間、自主呼吸恢複時間、完全清醒時間短于對照組, 不良反應髮生率低于對照組, 差異均有統計學意義(P<0.05).結論 全身痳醉聯閤硬膜外痳醉應用在胸部手術中, 效果顯著, 值得臨床推廣應用.
목적 탐토재흉부수술중운용전신마취연합경막외마취적효과.방법 156례흉과수술환자수궤분위대조조화관찰조, 각78례.대조조급여전신마취, 관찰조급여전신마취연합경막외마취.비교량조환자술전、술중、술후적수축압(SBP)、서장압(DBP)、평균동맥압(MAP)、심솔(HR)、혈양포화도(SpO2)이급발관시간、자주호흡회복시간、완전청성시간、술후불량반응발생솔.결과 관찰조술중、술후SBP、DBP、MAP、HR감측지표저우대조조, 관찰조발관시간、자주호흡회복시간、완전청성시간단우대조조, 불량반응발생솔저우대조조, 차이균유통계학의의(P<0.05).결론 전신마취연합경막외마취응용재흉부수술중, 효과현저, 치득림상추엄응용.
Objective To investigate anesthetic effect by general anesthesia combined with epidural anesthesia in thoracic operation.Methods A total of 156 patient receiving thoracic operation were randomly divided into control group and observation group, with 78 cases in each group. The control group received general anesthesia, and the observation group received general anesthesia combined with epidural anesthesia. Comparisons were made on their systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP), heart rate (HR), oxyhemoglobin saturation (SpO2) before, during and after operation, extubation time, spontaneous breathing recovery time, fully awake time, and incidence of postoperative adverse reactions between the two groups.Results The observation group had all lower SBP, DBP, MAP, HR during and after operation than the control group, and its extubation time, spontaneous breathing recovery time, and fully awake time were shorter than those in the control group. The observation group also had lower incidence of adverse reactions than the control group. Their differences all had statistical significance (P<0.05).Conclusion Combination of general anesthesia and epidural anesthesia provides precise effect in thoracic operation. This method is worth clinical promotion and application.
