老年冠心病患者上腹部手术中全麻复合胸段硬膜外阻滞的疗效.docVIP

精品论文 参考文献 老年冠心病患者上腹部手术中全麻复合胸段硬膜外阻滞的疗效 浙江省安吉县人民医院 313300 摘要：目的：探究老年冠心病患者上腹部手术全麻复合胸段硬膜外阻滞的临床治疗效果。方法：选择2012年7月至2015年7月期间，我院诊治的100例进行上腹部手术治疗的老年冠心病患者，按照抽签的方式将其分为实验组和对照组，每组50例患者，对照组实施常规单纯全麻，实验组给予全麻复合胸段硬膜外阻滞，对比两组患者术后恢复情况，观察两组患者的满意程度。结果：实验组患者在拔出导尿管时间、住院时间以及麻醉满意度评分方面明显优于对照组，满足Plt;0.05，差异具有统计学意义。结论：对老年冠心病患者上腹部手术中施以全麻复合胸段硬膜外阻滞治疗效果显著，建议临床推广应用。 关键词：老年冠心病；上腹部手术；全麻复合胸段硬膜外阻滞；治疗效果 [Abstract] Objective：To explore the clinical effect of the treatment of elderly patients with coronary heart disease（CHD）abdominal surgery under general anesthesia combined with thoracic epidural block.Methods：in July July 2012 to 2015 period，100 cases in our hospital for diagnosis and treatment of upper abdominal surgery in elderly patients with coronary heart disease（CHD）patients，according to the lottery will be divided into the experimental group and the control group，50 cases in each group.Patients in control group received routine general anesthesia，the experimental group given general anesthesia combined with thoracic epidural anesthesia，compared two groups of patients with postoperative recovery，satisfaction degree of two groups of patients were observed.Results：the experimental group patients in pulling out urinary catheter time，length of hospital stay，and anesthesia satisfaction rating Points were obviously better than those of the control group，meet the P lt; 0.05，the difference is statistically significant.Conclusion：to upper abdominal surgery in elderly patients with coronary heart disease（CHD）subjected to general anesthesia combined with thoracic epidural block in the treatment of significant effect，recommended for clinical application. [Key words] elderly patients with coronary heart disease；upper abdominal surgery；general anesthesia combined with thoracic epidural block；treatment effect 在临床医学中，老年冠心病患病人群相对较多，对于该类疾病的治疗基本上是以上腹部手术为主，在手术过程中麻醉方法的选择对患者治疗结果有一定的影响[1]。文章中研究了老年冠心病患者上腹部手术中进行全麻复合胸段硬膜外阻滞的实际治疗效果，具体措施如下： 1资料与方法 1.1一般资料 在本次研究中，选择2012年7月至2015年7月期间，我院诊治的10