Elderly patients with spinal epidural nerve block neuroendocrine changes after.docVIP

 PAGE \* MERGEFORMAT 10 Elderly patients with spinal epidural nerve block neuroendocrine changes after [Keywords:] renin-angiotensin Abstract: Objective: To investigate the combined spinal and epidural nerve block in elderly patients with neuroendocrine changes, assessment of elderly patients with spinal epidural nerve block is feasible. Methods: We randomly selected elderly patients undergoing elective surgery (gt; 65 years 30 cases, combined spinal and epidural nerve block anesthesia in the lower abdomen and lower limb surgery. burglary were measured and recorded before anesthesia, after anesthesia, after 30min, 60min and the completion of surgery, cortisol, renin activity (PRA), blood vessels angiotensin (A) and aldosterone (AL) levels were observed and recorded burglary calm, after administration of 5min, 10min, 15min, 30min, 60min systolic blood pressure (SBP, diastolic blood pressure (DBP, heart rate (HR, pulse oximetry degree (SPO2 change, and to observe whether patients with complications such as arrhythmia and myocardial ischemia. Results: stable vital signs of patients after anesthesia, no significant changes in each index (Pgt; 0.05, decrease blood pressure were lt;20%, did not occur arrhythmia, myocardial ischemia, ECG changes such as increased, and the completion of surgery after anesthesia renin activity (PRA) decreased significantly (P lt;0.05. Conclusion: The combined spinal and epidural nerve block on endocrine function in elderly patients inhibit conducive to cardiovascular disease in elderly patients can be safely used, but should pay attention to the control plane. Keywords:: Lumbar epidural nerve block, age, blood pressure, renin-angiotensin Variation of Neuroendocrine in Senior Patients after Combination of Spinal and Epidural Anesthesia Abstract: Objective: To explore variation of neuroendocrine in senior patients after combination of spinal and epidural anesthesia and its clinical feasibility. Methods: 30 senior patients u