摘要
目的:探讨硬膜外阻滞和静脉全麻联合麻醉对老年患者手术后肺部感染的影响。方法:将108例上腹部手术老年患者随机平均分为A组(行吸入麻醉)、B组(行全凭静脉全身麻醉)和C组(行硬膜外阻滞联合静脉全麻)各36例,比较3组患者术后肺部感染的发生率,比较3组患者麻醉前麻醉拔管后的呼吸功能指标。结果:C组肺部感染率显著低于A组和B组(P<0.05);麻醉拔管后,C组RR、SpO_2和MV变化程度小于A组和B组(P<0.05)。结论:对上腹部开放手术的老年患者行硬膜外阻滞联合静脉全麻有助于减少术后肺部感染,对患者呼吸功能造成的影响小于吸入麻醉和静脉全麻。
Objective:To explore the effect of epidural block combined with intravenous general anesthesia on postoperative pulmonary infection in elderly patients.Methods:108 elderly patients with upper abdominal operation were randomly divided into A group(inhalation anesthesia),B group(total intravenous general anesthesia) and C group(epidural block combined with intravenous general anesthesia) with 36 cases in each.The incidence of postoperative pulmonary infection were compared between 3 groups.The respiratory function indicators of 3 groups were compared before anesthesia and after anesthesia extubation.Results:The pulmonary infection rate of C group was significantly lower than that of A group and B group(P<0.05).After anesthesia extubation,the change degrees of RR、SpO2 and MV in C group were less than those of A group and B group(P<0.05).Conclusion:The epidural block combined with intravenous general anesthesia for elderly patients with upper abdominal open operation is helpful to reduce the postoperative pulmonary infection,and the effect of respiratory function is less than that of inhalation anesthesia and intravenous general anesthesia.
作者
周刚
刘雪霜
Zhou Gang;Liu Xueshuang(Department of Anesthesia,the Affiliated Hospital of Da State Traditional Chinese Medicine University,Sichuan Province 635000)
出处
《中国社区医师》
2016年第10期65-66,共2页
Chinese Community Doctors
关键词
肺部感染
上腹部手术
老年患者
硬膜外阻滞联合静脉全麻
Pulmonary infection
Upper abdominal operation
Elderly patients
Epidural block combined with intravenous general anesthesia
