摘要
目的探讨不同麻醉方法对腹部手术患者效果观察及对术后肺部感染影响研究。方法选取医院2015年1月-2017年1月收治的择期行腹部手术患者148例,按照随机表法分为A组与B组,每组各74例;A组采用全身麻醉,B组采用硬膜外麻醉联合全麻;比较两组患者临床指标。结果 B组拔管时间和苏醒时间快于A组(P<0.05);拔管后,A组SpO2较麻醉前降低,而MAP和HR较麻醉前增加(P<0.05);拔管后,B组SpO2高于A组,而MAP和HR低于A组(P<0.05);A组术后1d和术后3dMMSE评分较术前降低(P<0.05);B组MMSE评分术后1d和3d高于A组(P<0.05);B组术后肺部感染率为2.70%低于A组的13.51%(P<0.05)。结论腹部手术患者应用硬膜外麻醉联合全麻效果优于全身麻醉,且术后肺部感染少于全身麻醉,具有重要研究意义。
OBJECTIVE To investigate the effect of different anesthesia methods on abdominal surgery and their influence on postoperative pulmonary infection.METHODS A total of 148 patients with elective abdominal surgery from Jan.2015 to Jan.2017 in our hospital were selected,and were randomly divided into group A and group B according to random table method,with 74 cases in each group.Patients in group A were received general anesthesia,and in group B were treated with epidural anesthesia combined with general anesthesia.Clinical indexes between the two groups were compared.RESULTS The extubation time and recovery time of group B were signifiicently faster than those of group A group（P〈0.05）.After extubation,the SpO2 of group A was signifiicently lower than that before anesthesia,but MAP and RR were signifiicently increased than those before anesthesia（P〈0.05）.After extubation,the SpO2 of group B were signifiicently higher than that of group A,and MAP and HR were signifiicently lower than those of group A（P〈0.05）.The MMSE scores of group B at postoperative 1 d and 3 dwere signifiicently higher than those in group A（P〈0.05）.The postoperative pulmonary infection rate in group B was 2.70%,which was signifiicently lower than 13.51%in group A（P〈0.05）.CONCLUSIONEpidural anesthesia combined with general anesthesia is better than inhalation anesthesia in abdominal surgery,and pulmonary infections are less than that of inhalation anesthesia.It has important research significance.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2017年第23期5422-5424,5428,共4页
Chinese Journal of Nosocomiology
基金
浙江省医药卫生基金资助项目(2015KYB389)
关键词
麻醉方法
腹部手术
效果
术后肺部感染
Anesthesia method
Abdominal operation
Effect
Postoperative pulmonary infection
