不同麻醉方式对腹部手术患者效果观察及对术后肺部感染影响研究

发布时间：2018-09-02 07:59

【摘要】：目的探讨不同麻醉方法对腹部手术患者效果观察及对术后肺部感染影响研究。方法选取医院2015年1月-2017年1月收治的择期行腹部手术患者148例,按照随机表法分为A组与B组,每组各74例;A组采用全身麻醉,B组采用硬膜外麻醉联合全麻;比较两组患者临床指标。结果 B组拔管时间和苏醒时间快于A组(P0.05);拔管后,A组SpO2较麻醉前降低,而MAP和HR较麻醉前增加(P0.05);拔管后,B组SpO2高于A组,而MAP和HR低于A组(P0.05);A组术后1d和术后3dMMSE评分较术前降低(P0.05);B组MMSE评分术后1d和3d高于A组(P0.05);B组术后肺部感染率为2.70%低于A组的13.51%(P0.05)。结论腹部手术患者应用硬膜外麻醉联合全麻效果优于全身麻醉,且术后肺部感染少于全身麻醉,具有重要研究意义。
[Abstract]:Objective to investigate the effect of different anesthetic methods on patients undergoing abdominal surgery and pulmonary infection after operation. Methods 148 patients undergoing elective abdominal surgery from January 2015 to January 2017 were randomly divided into two groups: group A (74 cases) and group B (74 cases) were treated with general anesthesia combined with epidural anesthesia combined with general anesthesia. The clinical indexes were compared between the two groups. Results the extubation time and recovery time of group B were faster than that of group A (P0.05), the SpO2 of group A after extubation was lower than that before anesthesia, while the MAP and HR were increased (P0.05), the SpO2 of group B after extubation was higher than that of group A (P0.05). However, MAP and HR were lower than those in group A (P0.05). The scores of 3dMMSE in group A were significantly lower than those in group A (P0.05). The MMSE score of group B was significantly higher than that of group A (P0.05). The pulmonary infection rate in group B was 2.70% lower than that in group A (13.51%) (P0.05). Conclusion the effect of epidural anesthesia combined with general anesthesia in patients undergoing abdominal surgery is better than that of general anesthesia, and the postoperative pulmonary infection is less than that of general anesthesia.
【作者单位】：宁波市鄞州区第二医院麻醉科;宁波市第一医院影像科;
【基金】：浙江省医药卫生基金资助项目(2015KYB389)
【分类号】：R614

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