摘要
目的分析硬膜外麻醉和全身麻醉对高龄患者腹部术后谵妄的影响。方法选取2017年6月~2018年6月在我院实施腹部手术的50例患者作为本次研究对象,采用随机分组分为Ⅰ组与Ⅱ组,Ⅰ组患者采取硬膜外麻醉联合全身麻醉,Ⅱ组患者采取全身麻醉,对其麻醉效果进行分析。结果(1)麻醉前比较两组患者手术中各项指标变化,差异无统计学意义(P>0.05);两组患者麻醉后PETCO2、MAP、RR指标变化与麻醉前比较,差异有统计学意义(P<0.05);两组患者麻醉后MAP、HR、RR、SPO2指标变化,差异有统计学意义(P<0.05)。(2)Ⅱ组患者谵妄发生率24.00%明显高于Ⅰ组患者谵妄发生率4.00%,差异有统计学意义(P<0.05)。(3)Ⅰ组患者拔管时间、手术时间与苏醒时间均低于Ⅱ组患者,差异有统计学意义(P<0.05)。结论与单纯全身麻醉相比,硬膜外麻醉联合全身麻醉有效的降低高龄患者腹部术后谵妄的发生率,保证高龄患者的手术质量,缩短拔管时间、手术时间与苏醒时间,更利于患者术后恢复,值得推广使用。
Objective To analyze the effect of epidural anesthesia and general anesthesia on delirium after abdominal surgery in elderly patients.Methods 50 patients undergoing abdominal surgery in our hospital from June 2017 to June 2018 were selected as research objects.They were randomly divided into groupⅠand groupⅡ.Patients in GroupⅠwere given epidural anesthesia combined with general anesthesia.Patients in the GroupⅡwere given general anesthesia.The anesthetic effect was analyzed.Results(1)There was no statistically difference in the changes of indexes before anesthesia between the two groups(P>0.05).There were differences in PETCO2,MAP and RR before and after anesthesia in two groups,and the differences were statistically significant(P<0.05).There were differences in MAP,HR,RR and SPO2 before and after anesthesia in two groups,and the differences were statistically significant(P<0.05).(2)The incidence of delirium in groupⅡwas 24.00%,significantly higher than 4.00%in groupⅠ,and the difference was statistically significant(P<0.05).(3)The extraction time,operation time and resuscitation time of groupⅠwere shorter than those of groupⅡ,and the difference was statistically significant(P<0.05).Conclusion Compared with simple general anesthesia,epidural anesthesia combined with general anesthesia can effectively reduce the incidence of delirium after abdominal surgery in elderly patients,ensure the quality of surgery in elderly patients and shorten the extraction time,operation time and resuscitation time.It is more conducive to postoperative recovery of patients,which is worthy of promotion and application.
作者
林海波
邓海洪
黄力超
潘柳杰
LIN Haibo;DENG Haihong;HUANG Lichao;PAN Liujie(Zhaoqing First People’s Hospital,Guangdong,Zhaoqing 526020,China)
出处
《中国医药科学》
2019年第19期158-160,共3页
China Medicine And Pharmacy
关键词
硬膜外麻醉
全身麻醉
高龄
腹部术
谵妄
Epidural anesthesia
General anesthesia
Elderly
Abdominal surgery
Delirium
