摘要
目的探究全麻联合硬膜外麻醉在老年高血压患者腹腔镜胆囊切除术中的应用效果。方法将2015年1月—2017年2月作为本次研究时间段,回顾性分析其中80例老年高血压患者腹腔镜胆囊切除术的麻醉情况,并根据不同麻醉方式将患者分成对照组与观察组。对照组仅对患者进行全身麻醉,观察组患者实施全麻联合硬膜外麻醉。观察两组临床麻醉效果,记录两组患者手术前后生命体征指标以及恢复时间并进行对比分析。结果在进行不同方式麻醉后两组患者在SBP、DBP、HR、Sp O2等指标上较麻醉前均有显著上升,对比差异具有统计学意义(P<0.05)。观察组患者在术后SBP、DBP两项指标上上升幅度显著低于对照组患者,HR指标上升幅度显著高于对照组患者,对比差异均具有统计学意义(P<0.05)。术后观察组患者在睁眼时间与自主呼吸时间上均显著低于对照组患者,对比差异具有统计学意义(P<0.05)。结论老年高血压患者腹腔镜胆囊切除术中,应用全麻联合硬膜外麻醉的效果良好,具有推广价值。
Objective To investigate the effect of general anesthesia combined with epidural anesthesia on laparoscopic cholecystectomy in elderly patients with hypertension.Methods The anaesthesia of 80 elderly patients with hypertension undergoing laparoscopic cholecystectomy from January 2015 to February 2017 was retrospectively analyzed.The patients were divided into two groups according to different anesthetic methods:the control group and the observation group.The patients in the observation group were given general anesthesia combined with epidural anesthesia.The clinical anaesthesia effect was observed and the vital signs and recovery time before and after operation were recorded and compared between the two groups.Results After different anesthesia,the indexes of SBP,DBP,HR,SpO2 in the two groups were significantly higher than those before anesthesia.The difference was statistically significant(P<0.05).The increase of SBP and DBP in the observation group was significantly lower than that in the control group,and HR was significantly higher in the observation group than in the control group.The difference was statistically significant(P<0.05).The time of eye opening and spontaneous respiration in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion In cholecystectomy,general anesthesia combined with epidural anesthesia has good effect and is worth popularizing.
作者
周亦
巴吐尔.热西丁
陶正新
王志旭
赵兵
黄丽
ZHOU Yi;Batuer·rexiding;TAO Zhengxin;WANG Zhixu;ZHAO Bing;HUANG Li(Department of Anesthesia,Aksu People's Hospital,Aksu Xinjiang 843000,China)
出处
《中国卫生标准管理》
2018年第8期125-127,共3页
China Health Standard Management
关键词
老年高血压
腹腔镜胆囊切除术
全麻
硬膜外麻醉应用效果
elderly hypertension
laparoscopic cholecystectomy
general anesthesia
epidural anesthesia
