两种麻醉方式对老年高血压患者术后麻醉恢复期的影响

发布时间：2018-06-25 09:12

本文选题：全身麻醉 + 硬膜外麻醉　；参考：《中国老年学杂志》2017年17期

【摘要】：目的探讨硬膜外和全身麻醉两种方式对老年高血压病患者术后麻醉恢复期的影响效果。方法行手术治疗的178例患者,根据麻醉方式不同分为全麻组(89例)和硬膜外组(89例),全麻组患者予以全身麻醉,硬膜外组予以全身麻醉复合硬膜外麻醉,比较两组患者麻醉效果、心率、血压异常情况、术后拔管时间、苏醒时间及术后对患者认知功能的影响。结果硬膜外组患者麻醉优良率明显高于全麻组(P0.05);麻醉前,全麻组和硬膜外组患者血压和心率异常率比较差异无统计学意义(P0.05),麻醉后全麻组血压、心率异常率显著高于硬膜组(P0.05);硬膜外组患者术后认知功能障碍发生率明显低于全麻组(P0.05),术后拔管时间和苏醒时间显著短于全麻组(P0.05)。结论硬膜外麻醉对老年高血压手术治疗患者具有较好的麻醉效果,不仅能有效维持血压和心率正常,还能缩短术后苏醒时间,减少对认知功能障碍的影响。
[Abstract]:Objective to investigate the effect of epidural and general anesthesia on the recovery of postoperative anesthesia in elderly patients with hypertension. Methods 178 patients were divided into general anesthesia group (89 cases) and epidural group (89 cases) according to different anesthetic methods. The patients in general anesthesia group were given general anesthesia, and general anesthesia combined with epidural anesthesia was given in epidural group. The effects of anesthesia, abnormal heart rate, blood pressure, extubation time, recovery time and postoperative cognitive function were compared between the two groups. Results the excellent and good rate of anesthesia in epidural group was significantly higher than that in general anesthesia group (P0.05), there was no significant difference in abnormal blood pressure and heart rate between general anesthesia group and epidural group before anesthesia (P0.05). The abnormal rate of heart rate was significantly higher than that of the epidural group (P0.05), the incidence of postoperative cognitive dysfunction in the epidural group was significantly lower than that in the general anesthesia group (P0.05), and the time of extubation and recovery after operation was significantly shorter than that in the general anesthesia group (P0.05). Conclusion epidural anesthesia can not only maintain normal blood pressure and heart rate, but also shorten the recovery time and reduce the influence on cognitive dysfunction in elderly patients with hypertension.
【作者单位】：金华市人民医院麻醉科;
【基金】：金华市科技项目(No.2014-3-078)
【分类号】：R614

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