摘要
为了观察全麻复合胸段硬膜外阻滞在胸部手术患者苏醒期血流动力学的变化,将30例ASA I-II级择期普胸手术病人,随机分为硬膜外阻滞复合全麻组(复合组)和单纯全麻组(对照组),每组15例。两组全麻诱导和维持方法相同,复合组在全麻诱导前先行胸段硬膜外穿刺置管,给局麻药控制麻醉平面在T4-T10水平,并在术中定时追加局麻药,分别记录麻醉前、气管拔管前、气管拔管即刻、气管拔管后1min、5min血液动力学指标。结果显示:对照组各项指标在气管拔管即刻达到高峰,与麻醉前比有显著性差异(P<0.01);拔管前、拔管后1min也高于复合组,拔管后5min也未完全恢复,有显著性差异(P<0.05)。结果表明:全麻复合胸段硬膜外阻滞应用复合组苏醒期中循环功能相对稳定,可减轻应激反应,是一种安全可行的麻醉方法。
Objective to evaluate the efficacy of general anesthesia combined with epidural block anesthesia on hemodynamics in patients undergoing thoracic surgery during extubation. Methods： Thirty patients undergoing thoracic surgery,ASA Ⅰ-Ⅱ were randomly assigned into two groups： general anesthesia group （group G） and general anesthesia combined with epidural block group （GE group）. The same anesthesia agents were chosen to induce for all patients. The patients in GE group were punctured into epidural space though T45 or T5-6. The anesthesia plan was under T4 - T10 level. SBP, DBP, MAP and HR were recorded respectively before induction and extubation, during extubation and after 1 minutes and 5 minute tracheal extubation. Results： In the GE group SBP, DBP, MAP is clearly lower than that of the group G before intubation and extubation, during extubation and after 1 minute and 5 minutes tracheal extubation （ P 〈 0.05）, and HR is slower than that of the group G （ P 〈 . 05 ）. Conclusion： General anesthesia combined with epiduml block can stabilize the hemodynamics and reduce the stress response to surgery which can be applied safely and effectively.
出处
《石河子大学学报（自然科学版）》
CAS
2006年第1期52-54,共3页
Journal of Shihezi University(Natural Science)
关键词
全麻复合硬膜外
苏醒期
血流动力学
general anesthesia combined with epidural block anesthesia
hemodynamic
thoracic
