胸部手术中硬膜外麻醉联合全身麻醉的应用效果分析

发布时间：2018-05-19 12:11

本文选题：胸部手术 + 全身麻醉　；参考：《基层医学论坛》2016年24期

【摘要】：目的探讨在胸部手术中应用全身麻醉联合硬膜外麻醉的临床效果。方法随机选取2013年11月—2015年3月在我院接受胸部手术患者88例,采用随机数字表法将其分为观察组和对照组,其中对照组患者行全身麻醉,观察组患者则接受硬膜外麻醉联合全身麻醉。对2组患者的手术前后生命体征变化情况进行观察比较。结果观察组患者术中及术后的HR、MAP、SBP、DBP均明显低于对照组,差异具有统计学意义(P0.05);观察组患者的拔管时间、自主呼吸恢复时间及完全清醒时间均明显短于对照组,差异具有统计学意义(P0.05)。结论在胸部手术中应用全身麻醉联合硬膜外麻醉,可有效保证患者术中循环功能平稳,促进术后及早苏醒,对于保障手术顺利进行及患者术后恢复具有十分积极的作用。
[Abstract]:Objective to investigate the clinical effect of general anesthesia combined with epidural anesthesia in thoracic surgery. Methods 88 patients undergoing thoracic surgery in our hospital from November 2013 to March 2015 were randomly divided into observation group and control group. Patients in the observation group received epidural anesthesia combined with general anesthesia. The changes of vital signs before and after operation were observed and compared between the two groups. Results the DBP of the patients in the observation group was significantly lower than that in the control group (P 0.05), the time of extubation, the time of recovery of spontaneous respiration and the time of complete wakefulness in the observation group were significantly shorter than those in the control group. The difference was statistically significant (P 0.05). Conclusion the application of general anesthesia combined with epidural anesthesia in thoracic surgery can effectively ensure the smooth circulation function of the patients during operation, promote the early recovery after operation, and play a very positive role in ensuring the smooth progress of the operation and the recovery of the patients after operation.
【作者单位】：朔州市朔城区人民医院;
【分类号】：R614

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