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不同麻醉方法对老年高血压患者循环功能及苏醒的影响 被引量:14

The effects of different anesthetic techniques on circulatory function and recovery in the older hypertensive patients
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摘要 目的:比较两种不同麻醉方法对老年高血压患者循环功能及苏醒的影响.方法:选择择期上腹部手术老年高血压患者60例,ASAⅡ~Ⅲ级,随机分为全麻组(A组)和浅全麻联合硬膜外麻醉组(B组),每组30例.诱导前硬膜外给药2%利多卡因5ml,再行全麻诱导.全麻用药两组相同.分别记录诱导前(T1)、插管时(T2)、插管后5min(T3)、术中探查(T4)、拔管时(T5)、拔管后5min(T6)6个时间点的SBP、DBP、HR以及术后患者呼吸功能恢复情况和苏醒时间.结果:A组在T2、T4、T5时SBP、DBP、HR均高于B组(P<0.05),全麻用药量B组明显少于A组(P<0.05),B组患者的术毕苏醒时间明显快于A组(P<0.05).结论:在老年高血压患者上腹部手术中,通过浅全麻联合硬膜外麻醉方法可维持血液动力学稳定,减轻应激反应,加快患者苏醒时间. Objective: To compare the effects of different anesthetic techniques on circulatory function and recovery in the older hypertensive patients. Methods:Sixty older hypertensive patients, ASA grade Ⅱ- Ⅲ, undergoing surgery were divided randomly into general anesthesia group (group A)and combined general anesthesia with epidural block group (group B) with 30 casesin in each. 5 ml lidocaine was added after induction. The general anesthesia durgs of both groups were similar in induction and maintenance. SBP, DBP, HR were recorded, Result :In group A,SBP, DBP and HR were increased at T2, T4,T5 compared with group B(P〈0.05). The amount of propofol used was significantly less in group B than that in group A(P〈0. 05). The recovery was faster in group B than that in group A(P〈0. 05). Conclusion: The depth of general anesthesia combined with epidural block in the older hypertensive patients is feasible with an advantage of keeping hemodynamies stable.
出处 《陕西医学杂志》 CAS 北大核心 2007年第4期429-431,共3页 Shaanxi Medical Journal
关键词 高血压 麻醉药 全身 麻醉药 硬膜外 血流动力学 Hypertension Anesthetics,general Anesthesia,epidural Hemodyhamics
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