分析全麻联合硬膜外麻醉在老年胸腹部手术中的效果
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摘要
目的分析观察在老年胸腹部手术中应用全麻联合硬膜外麻醉的临床效果。方法在我院拟行胸腹部手术的老年病患260例,将病患采用随机数字表法分为两组,其中一组病患给予全麻设为参照组,给予另一组病患全麻联合硬膜外麻醉设为实验组,对两组病患的临床效果进行对比。结果两组病患经治疗后,实验组病患术中、术后的血压、心率明显优于参照组(P<0.05),且实验组病患术后定向力恢复时间、拔管时间、睁眼时间明显短于参照组(P<0.05)。结论在老年胸腹部手术中应用全麻联合硬膜外麻醉,可有效稳定老年病患术中的血流动力学,并有利病患术后的清醒及恢复,值得在临床上大力的推广。
Objective To analyze the clinical effects of general anesthesia combined with epidural anesthesia in elderly patients undergoing thoracic and abdominal surgery. Methods A total of 260 elderly patients who underwent thoracic and abdominal surgery in our hospital were randomly divided into two groups. One group was given general anesthesia as a reference group and another group was given general anesthesia combined with epidural anesthesia as experimental group, and the clinical effects of the two groups of patients were compared. Results After treatment,the blood pressure and heart rate of the patients in the experimental group were significantly better than those in the reference group(P<0.05), and the postoperative recovery time and extubation time of the patients in the experimental group. The blink time was significantly shorter than the reference group(P< 0.05). Conclusion The application of general anesthesia combined with epidural anesthesia in elderly thoracic and abdominal surgery can effectively stabilize the hemodynamics of elderly patients and facilitate the recovery and recovery of patients after surgery. It is worthy of clinical promotion.
Objective To analyze the clinical effects of general anesthesia combined with epidural anesthesia in elderly patients undergoing thoracic and abdominal surgery. Methods A total of 260 elderly patients who underwent thoracic and abdominal surgery in our hospital were randomly divided into two groups. One group was given general anesthesia as a reference group and another group was given general anesthesia combined with epidural anesthesia as experimental group, and the clinical effects of the two groups of patients were compared. Results After treatment,the blood pressure and heart rate of the patients in the experimental group were significantly better than those in the reference group(P<0.05), and the postoperative recovery time and extubation time of the patients in the experimental group. The blink time was significantly shorter than the reference group(P< 0.05). Conclusion The application of general anesthesia combined with epidural anesthesia in elderly thoracic and abdominal surgery can effectively stabilize the hemodynamics of elderly patients and facilitate the recovery and recovery of patients after surgery. It is worthy of clinical promotion.
引文
[1]姜春浩.全身麻醉联合硬膜外麻醉和全身麻醉在高血压老年患者腹腔镜胆囊切除术中的临床价值[J].中国实用医药,2016,11(23):187-188.
[2]鲁加波.全身麻醉联合硬膜外麻醉在胸部手术中的临床应用分析[J].当代医学,2016,22(1):42-43.
[3]王琰.老年腹部手术患者全麻联合硬膜外麻醉的肺功能及肺部感染状况分析[J].中华医院感染学杂志,2017,27(19):4464-4467.
[4]樊晋荣.探析全身麻醉联合硬膜外麻醉和全身麻醉在高血压老年患者腹腔镜胆囊切除术(LC)中的麻醉效果[J].世界最新医学信息文摘,2017,17(19):37.
[5]梁楠.对比全身麻醉联合硬膜外麻醉和全身麻醉在高血压老年患者腹腔镜胆囊切除术中的麻醉效果[J].航空航天医学杂志,2017,28(12):1481-1482.
[6]雒小平.七氟醚全麻联合硬膜外麻醉对老年腹部手术的麻醉效果及心肌保护作用观察[J].浙江创伤外科,2015,20(5):1037-1039.
[7]封位鸣.硬膜外联合全身麻醉在老年腹部手术患者中的应用效果[J].当代医学,2015,21(29):41-42.
[8]苏晓华.全身麻醉联合硬膜外麻醉在老年患者手术中的应用[J].医学研究与教育,2016,33(3):10-15.
[9]王丽.全麻联合硬膜外麻醉在老年高血压腹腔镜手术中的效果观察[J].社区医学杂志,2017,15(20):23-24.
[10]顾建艳.全麻联合硬膜外麻醉应用于老年上腹部手术临床分析[J].中国医药科学,2016,6(7):185-187.
[2]鲁加波.全身麻醉联合硬膜外麻醉在胸部手术中的临床应用分析[J].当代医学,2016,22(1):42-43.
[3]王琰.老年腹部手术患者全麻联合硬膜外麻醉的肺功能及肺部感染状况分析[J].中华医院感染学杂志,2017,27(19):4464-4467.
[4]樊晋荣.探析全身麻醉联合硬膜外麻醉和全身麻醉在高血压老年患者腹腔镜胆囊切除术(LC)中的麻醉效果[J].世界最新医学信息文摘,2017,17(19):37.
[5]梁楠.对比全身麻醉联合硬膜外麻醉和全身麻醉在高血压老年患者腹腔镜胆囊切除术中的麻醉效果[J].航空航天医学杂志,2017,28(12):1481-1482.
[6]雒小平.七氟醚全麻联合硬膜外麻醉对老年腹部手术的麻醉效果及心肌保护作用观察[J].浙江创伤外科,2015,20(5):1037-1039.
[7]封位鸣.硬膜外联合全身麻醉在老年腹部手术患者中的应用效果[J].当代医学,2015,21(29):41-42.
[8]苏晓华.全身麻醉联合硬膜外麻醉在老年患者手术中的应用[J].医学研究与教育,2016,33(3):10-15.
[9]王丽.全麻联合硬膜外麻醉在老年高血压腹腔镜手术中的效果观察[J].社区医学杂志,2017,15(20):23-24.
[10]顾建艳.全麻联合硬膜外麻醉应用于老年上腹部手术临床分析[J].中国医药科学,2016,6(7):185-187.