摘要
目的观察全身麻醉复合硬膜外麻醉对老年腹部手术患者术后肺部感染及肺功能的影响。方法该次研究选择该院2018年1月-2019年6月接收的行腹部手术的老年患者,总共115例,通过随机选择的方式分成观察组(58例)与对照组(57例),观察组采取全身麻醉复合硬膜外麻醉方式,对照组则在全身麻醉下完成手术治疗,观察两组术后的苏醒时间、拔管时间,术前术后的肺功能指标以及术后肺部感染发生率。结果观察组术后苏醒时间(16.37±3.56)min短于对照组(23.72±4.96)min,差异有统计学意义(t=9.672,P=0.000),观察组术后拔管时间(22.41±7.53)min短于对照组(33.67±9.65)min,差异有统计学意义(t=5.032,P=0.013);观察组术前术后的肺功能指标更加稳定,且组间差异有统计学意义(P<0.05);观察组术后肺部感染发生率20.69%明显低于对照组42.11%术后肺部感染发生率,差异有统计学意义(χ^2=26.784,P=0.000)。结论老年腹部手术患者手术中采取全身麻醉复合硬膜外麻醉方式,能够有效提高患者术前术后的肺功能稳定性,降低术后肺部感染发生率,值得临床推广应用。
Objective To observe the effects of general anesthesia combined with epidural anesthesia on postoperative pulmonary infection and pulmonary function in elderly patients undergoing abdominal surgery. Methods A total of 115 elderly patients undergoing abdominal surgery received from the hospital from January 2018 to June 2019 were selected for this study. They were randomly divided into an observation group(58 cases) and a control group(57 cases). The observation group underwent general anesthesia combined with epidural anesthesia, and the control group underwent surgery under general anesthesia. The postoperative wake-up time, extubation time, preoperative and postoperative pulmonary function indexes, and postoperative pulmonary infection rate were observed in both groups. Results The wake-up time(16.37±3.56)min in the observation group was shorter than that in the control group(23.72 ± 4.96) min,and the difference was statistically significant(t =9.672,P =0.000). The extubation time in the observation group was shorter(22.41±7.53) minutes, lower than the control group(33.67±9.65) min, the difference was statistically significant(t=5.032 P=0.013);the lung function index of the observation group was more stable before and after surgery, and the differences between the groups were significant(P <0.05);The incidence of lung infection was 20.69%, which was significantly lower than that of 42.11% in the control group, and the difference was statistically significant(χ^2=26.784,P=0.000). Conclusion The use of general anesthesia combined with epidural anesthesia in elderly patients undergoing abdominal surgery can effectively improve the stability of lung function before and after surgery, and reduce the incidence of postoperative pulmonary infection. It is worthy of clinical promotion and application.
作者
李鹏
LI Peng(Department of Anesthesiology,Ningjin County People's Hospital,Dezhou 253400 China)
出处
《系统医学》
2020年第5期49-51,共3页
Systems Medicine
关键词
全身麻醉
硬膜外麻醉
老年腹部手术患者
肺部感染
肺功能
General anesthesia
Epidural anesthesia
Elderly patients undergoing abdominal surgery
Lung infections
Pulmonary function
