摘要
目的 评价上胸段硬膜外阻滞配合适当镇静用于肺癌集束射频热凝固治疗术的麻醉效果及安全性。方法 肺癌集束射频热凝固治疗术病人 60例 ,T6-7或T5-6硬膜外间隙穿刺 ,局麻药用 0 8%～ 1 0 %利多卡因 ,术中必要时用氟芬合剂及异丙酚镇静 ,常规鼻导管给氧 2～ 3L/min ,监测记录心电图 (ECG)、心率 (HR)、血压 (BP)和脉搏血氧饱和度 (SpO2 )变化以及麻醉并发症发生情况。结果 术中HR、BP明显低于术前 (P <0 0 5 ) ,但在正常范围内 ,SpO2 则显著升高 (P <0 0 5 ) ;麻醉效果满意 ,无麻醉并发症发生。结论 上胸段持续硬膜外阻滞配合适当镇静用于肺癌集束射频热凝固治疗术安全有效 。
Objective To evaluate the anesthesia efficacy and safety of superior thoracic epidural block combined with proper sedation in patients with radiofrequency ablation of lung cancer. Methods Sixty patients undergoing radiofrequency ablation of lung cancer were performed under epidural block with local anesthetic of 0.8～1.0% lidocaine, and the punctured point was applied at the T 6-7 or T 5-6 . Innovar and propofol were given to the patients during operation if necessary. ECG, HR, BP and SpO 2 were monitored, and anesthesia complications were recorded. Results The anesthesia efficacy was excellent, the intraopetative HR and BP were lower than those of preoperation(P<0.05), but yet kept in normal range. The SpO 2 during operation was higher significantly compared with preoperation(P<0.05).There was no anesthesia complication. Conclusion Superior thoracic continuous epidural block combined with proper sedation in patients with radiofrequency ablation of lung cancer is effective and safe, and strictly monitoring is necessary.
出处
《中国医师杂志》
CAS
2004年第1期70-72,共3页
Journal of Chinese Physician
基金
广东省高教厅资助项目 (2 0 0 0 67)
