期刊文献+

Proseal喉罩全麻复合硬膜外阻滞在老年病人上腹部手术中的应用 被引量:3

Proseal laryngeal mask airway and epidural block combined with general anesthesia used for upper abdominal surgery in elders
下载PDF
导出
摘要 目的探讨Proseal喉罩全麻复合硬膜外阻滞在老年病人上腹部手术中应用的安全性、可行性。方法40例择期上腹部手术老年患者,美国麻醉师协会(ASA)分级Ⅰ~Ⅱ级,随机分为实验组(LE)、对照组(GE),每组20例。观察比较两组的血流动力学变化和术后并发症的发生情况。结果LE组较GE组患者血流动力学稳定,术后并发症少。结论Proseal喉罩全麻复合硬膜外阻滞可用于老年病人上腹部手术,插喉罩(拔喉罩)对血压、心率的影响不如气管导管剧烈,且全麻药用量更少,拔管反应和术后咽痛少。 Objective To explore the anaesthesia effect, feasibility and safety of proseal LMA and epidural block combined with general anesthesia used for upper abdominal surgery in elders. Methods Forty elderly patients, scheduled for elective upper abdominal surgery, with ASA grade Ⅰ-Ⅱ, were randomly divided into study group (LE) and control group ( GE), n = 20 for each group. Then a comparison is made to evaluate the anaesthesia effect and complications following the surgery. Results Patients in LE group had the optimum anaesthesia with fewer complications after the operation and all of them feh canffortable ( P 〈 0.05 ). Condusion Proseal LMA and epidural block combined with general anesthesia could be used for upper abdominal surgery in eiders. The effect of LMA on haemodynamics was not as great as that of endotracheal intubation. The Proseal LMA and epidural block combined with general anesthesia can be more effectively and safely applied to elderly patients for upper abdominal surgery.
出处 《临床和实验医学杂志》 2009年第7期23-24,共2页 Journal of Clinical and Experimental Medicine
基金 东莞市科技局科研课题立项编号200665
关键词 PROSEAL喉罩 硬膜外阻滞 上腹部手术 老年人 Proseal laryngeal mask airway Epidual block Midsection surgical operation Aged
  • 相关文献

参考文献4

二级参考文献15

  • 1金喜文.小剂量等比重布比卡因腰-硬联合麻醉用于老年患者的观察[J].中国医药导报,2006,3(32):46-47. 被引量:1
  • 2曹国平.腰麻-硬膜外麻醉在老年患者股骨颈骨折手术中的应用[J].临床麻醉学杂志,2006,22(10):795-795. 被引量:127
  • 3Marsch SC, Schaefer HG, Skarvan K, et al. Perioperative myocardial ischemia in patients undergoing elective hip arthroplasty during lumbar regional anesthesia. Anesthesiology, 1992,76: 518-527.
  • 4Munzer T, Stimming G, Brucker B, et al. Perioperative myocardial infarction and cardiac complications after noncardiac surgery in patients with prior myocardial infarction. I. Clinical data and diagnosis,incidence. Anaesthesist, 1996,45 : 213-220.
  • 5Mangano DT, Browner WS, Hollenberg M, et al. Association of perioperative myocardial ischemia with cardiac morbidity and mortality in men undergoing noncardiac surgery. N Engl J Med,1990,323:1781-1788.
  • 6Hollenberg M, Mangano DT, Browner WS,et al. Predictors of postoperative myocardial ischemia in patients undergoing noncardiac surgery. JAMA, 1992, 268: 205-209.
  • 7Mangano DT, Layug EL, Wallace A, et al. Effect of atenolol on mortality and cardiovascular morbidity after noncardiac surgery. N Engl J Med, 1996, 335: 1713-1720.
  • 8Kersten JR, Gross GJ, Pagel PS, et al. Activation of adenosine triphosphate-regulated potassium channels:mediation of cellular and organ protection. Anesthesiology, 1998,88:495-513.
  • 9Tuman K J, Mccarthy RJ, March RJ, et al. Effects of epidural anesthesia and analgesia on coagulation and outcome alter major vascular surgery. Anesth Analg, 1991,73:696-704.
  • 10Wartier DC, Pagel PS, Kersten JR. Approaches to the prevention of perioperative myocardial ischemia. Anesthesiology, 2000,92 : 253-259.

共引文献97

同被引文献18

引证文献3

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部