全身麻醉联合硬膜外麻醉在老年患者手术中的应用

发布时间：2018-01-03 10:44

本文关键词：全身麻醉联合硬膜外麻醉在老年患者手术中的应用　出处：《世界最新医学信息文摘》2017年46期 　论文类型：期刊论文

【摘要】：目的观察全身麻醉联合硬膜外麻醉用药治疗老年患者手术的疗效。方法选取2015年12月至2016年12月在该院的100例老年患者手术的患者,随机分为观察组和对照组各50例。观察组给予全身麻醉联合硬膜外麻醉,对照组给予全身麻醉治疗。观察患者手术前(T1)、插管3分钟(T2)、手术时(T3)及拔管时(T4)血压变化、苏醒时间。结果观察观察组在T1、T2、T3、T4四个时期血压低于对照组(P0.05);在T2、T3、T4四个时期观察组苏醒、拔管、应答时间比对照组短,差异显著(P0.05)。结论全身麻醉联合硬膜外麻醉对老年患者手术,能够较好维持老年患者生命体征,安全可靠,提高苏醒质量,值得临床应用。
[Abstract]:Objective To observe the curative effect of general anesthesia combined with epidural anesthesia in treatment of elderly patients with surgery. Methods from December 2015 to December 2016 in 100 cases of elderly patients in the hospital were randomly divided into observation group and control group with 50 cases in each group. The observation group was given general anesthesia combined with epidural anesthesia, the control group was given treatment were observed in patients with general anesthesia. Before the operation (T1), 3 minutes (T2) intubation, surgery (T3) and extubation (T4) changes in blood pressure, recovery time. Results in the observation group, T1, T2, T3, T4 four times the blood pressure lower than that of the control group (P0.05); in T2, T3, T4 four during the period of observation group recovery, extubation, response time shorter than the control group, the difference was significant (P0.05). Conclusion: general anesthesia combined with epidural anesthesia for elderly patients with surgery, can better maintain the vital signs of the elderly patients with, safe and reliable, improve recovery quality, worthy of clinical application.

【作者单位】：河北省石家庄市栾城人民医院;
【分类号】：R614
【正文快照】： 0引言老年患者随着肝胆、肝肾功能衰退,耐受药物程度性降低,代谢与清除麻醉药物速度下降,很容易造成手术后应激反应。老年患者在手术过程中优化麻醉方案,对于提高患者的生命质量有重要意义,改善患者手术预后是临床研究热点[1]。血压能够反映机体应激状态,而硬膜外麻醉属于硬膜

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