摘要
目的 :比较罗哌卡因胸段硬膜外阻滞复合全麻 (CGA )和单纯全麻 (GA)用于全胃切除手术时的心血管效应。方法 :4 0例拟择期行全胃切除手术患者 ,ASA ～ 级 ,随机分为 GA组和 CGA组 ,每组 2 0例 ,分别接受气管插管全麻和罗哌卡因胸段硬膜外阻滞复合气管插管全麻。记录麻醉诱导期、手术期及苏醒期的血压、心率变化。结果 :1CGA组患者术中收缩压、心率的变化均较 GA组小 (12 3± 14 m m Hg vs132± 17m m Hg和 78± 10 / m in vs 85±10 / min,均 P<0 .0 1) ;2 CGA组患者诱导插管时及苏醒期的血压、心率变化均较 GA组小 (均 P<0 .0 5 )。结论 :与GA相比 ,CGA用于全胃切除手术可维持更加稳定的血流动力学 。
AIM: To make a comparative study of cardiovascular effect of general anesthesia and combined anesthesia of general anesthesia and thoracic epidural blockade with ropivacaine. METHODS: 40 patients scheduled for elective whole gastrectomy with ASA Ⅰ~Ⅱ, which were randomly divided into GA (general anesthesia) group ( n =20) and CGA (combined general anesthesia) group ( n =20), received general anesthesia with tracheal intubation and combined anesthesia of general anesthesia with tracheal intubation and thoracic epidural blockade with ropivacaine. Changes in blood pressure and heart rate during the period of anesthesia induction, operation and awake were recorded. RESULTS: ①Changes of systolic blood pressure and heart rate during operation in CGA group were smaller than in GA group (123±14 mm Hg vs 132±17 mm Hg and 78±10/min vs 85±10 min -1 respectively, P <0.01). ② Blood pressure and heart rate changes to intubation and awake were smaller in CGA group than in GA group ( P <0.05). CONCLUSION: Combined anesthesia of general anesthesia and thoracic epidural blockade with ropivacaine when applied to whole gastrectomy could maintain more stable hemodynamics compared with general anesthesia, especially suitable to surgical patients having or being predisposing to have myocardial ischemia.
出处
《心脏杂志》
CAS
2002年第6期482-484,共3页
Chinese Heart Journal
关键词
罗哌卡因
全身麻醉
硬膜外阻滞
血压
心率
ropivacaine
general anesthesia
epidural blockade
blood pressure
heart rate
