摘要
目的：探讨硬膜外麻醉、全麻、硬膜外复合全麻对胆道手术病人心血管反应的影响。方法：择期胆道手术70例，ASAⅠ～Ⅱ级，随机分成3组，即硬膜外组（E组n=30），全麻组（T组，n=20），硬膜外复合全麻组（E＋T组，n=20），监测并记录麻醉过程中的HR、MAP、sPO2的变化。结果：E组：麻醉后20min，HR、MAP明显下降，与麻醉前相比有显著性差异（P〈0．05）。T组：麻醉后各时间点上HR、MAP显著性升高，有显著性差异（P〈0．05）。E＋T组：麻醉前后，HR、MAP平稳，无显著性差异（P〉0．05）。组间：MAP、HR，T组与E、E＋T组相比有显著性差异（P〈0．05）。sPO2，E组与T组、E＋T组相比有显著性差异（P〈0．05）。结论：硬膜外复合全麻麻醉前后血流动力学稳定，更适合于胆道手术麻醉。
Objective： To study the effects of epidural anaesthesia, general anaesthesia and combined anaesthesia on cardiovascular reaction during biliary tract surgery. Methods： Seventy adult patients （ASA Ⅰ～Ⅱ ） scheduled for elective biliary tract surgery were divided randomly into block group （E,n=30） ,general anaesthesia group （T,n=30） and combined group （E＋ T,n： 20 ） , HR, MAP, sPO2 were recorded during operation. Results： After anaesthesia, in group E the levels of HR, MAP were decreased more markedly in 20 min than that before anaesthesia （P〈0.05）. In group T the levels of HR, MAP,were increased more significantly than that before anaesthesia （P〈0. 05）. In group E ＋T the levels of HR, MAP were kept steadily（P〈0. 05）. The levels of HR, MAP in group T were significantly than that in other two groups（P〈0.05）, sPO2 in group E was more significant than that in other two groups（P〈0. 05 ）. Conclusion： Cardiovascular reaction in combined group was kept steadily during operation.
出处
《医学理论与实践》
2006年第9期1021-1022,共2页
The Journal of Medical Theory and Practice
关键词
硬膜外麻醉
全麻
胆道手术
心血管反应
Epidural block,General anaesthesia, Biliary .tract surgery,Cardiovascular reaction
