摘要
目的观察探讨快通道心脏麻醉在心脏手术中的临床效果。方法选择2015年5月~2017年7月我院收治的心脏手术患者138例作为研究对象,采取随机数字表法将其分为观察组与参照组,每组69例。参照组患者进行常规麻醉,观察组患者则采用快通道心脏麻醉方式进行麻醉,比较两组的镇痛效果、警觉-镇静评分(OAA/S)、清醒时间、拔管时间、ICU住院时间以及血流动力学指标的变化。结果观察组患者的镇痛效果以及警觉-镇静评分(OAA/S)均明显优于参照组,差异有统计学意义(P<0.05)。观察组患者清醒时间、拔管时间以及ICU住院时间显著短于参照组,差异均有统计学意义(P<0.05)。两组患者围手术期的血流动力学表现均较为平稳,不同时段的各项指标无明显变化,组间比较差异无统计学意义(P>0.05)。结论在心脏手术中应用快通道心脏麻醉具有较好的麻醉效果,能缩短患者清醒时间和康复时间,且安全性高,值得临床推广应用。
Objective To investigate the clinical effect of fast-track anesthesia on the heart in cardiac surgery.Methods A total of 138 patients undergoing cardiac surgery from May 2015 to July 2017 in our hospital were selected as research subjects.The participants were divided into observation group and reference group by a random number table method,with 69 cases in each group.Patients in the reference group were anesthetized by conventional anesthesia,while in the observation group,the fast-track anesthesia was adopted.The analgesic effect,alertness-sedation score(OAA/S),awake time,extubation time,hospital stay in intensive care unit(ICU)and the changes of hydrodynamic indicators were compared in the two groups.Results The analgesic effect and OAA/S score in the observation group were significantly better than those in the reference group,the difference was statistically significant(P<0.05).The awake time,extubation time and ICU stay in the observation group were significantly shorter compared with those in the reference group with significant differences(P<0.05).Perioperative hemodynamic performance was stable in both groups without significant changes at various time points,there was no significant difference(P>0.05).Conclusion The application of fast-track anesthesia on the heart in cardiac surgery has a good anesthetic effect,which can shorten the awake time and rehabilitation time of patients in high safety,and is worthy of clinical promotion.
作者
时敬峰
韩景田
SHI Jing-Feng;HAN Jing-tian(Department of Anesthesia,Fushun Mining General Hospital,Liaoning Province,Fushun 113008,China)
出处
《中国当代医药》
2018年第8期126-128,共3页
China Modern Medicine
关键词
快通道
心脏麻醉
心脏手术
麻醉效果
Fast-track
Anesthesia on the heart
Cardiac surgery
Anesthetic effect
