高位硬膜外麻醉加静吸复合全麻行胸科手术的临床应用.docVIP

精品论文 参考文献 高位硬膜外麻醉加静吸复合全麻行胸科手术的临床应用 　汪军 　　（四川省德阳市什邡市人民医院 四川 德阳 618400） 　　【摘 要】目的：分析高位硬膜外麻醉加静吸复合全麻应用于胸科手术中的麻醉效果。方法：选择80例行开胸手术患者作为研究对象，将其随机分为对照组和观察组，其中对照组患接受单纯静吸复合全麻，观察组患者接受高位硬膜外麻醉加静吸复合全麻。比较两组患者的麻醉效果。结果：对照组患者麻醉过程中心率与血压波动较大，而观察组患者则较为平稳，从而显著减少麻醉过程中应激反应的发生；观察组患者麻醉过程中全麻药物用量、VAS评分、手术后康复及恢复时间显著低于对照组患者（P＜0.05）；观察组患者术后咳嗽排痰和肺部感染等并发症发生率显著少于对照组患者（P＜0.05）。结论：高位硬膜外麻醉加静吸全麻能够有效减少行胸科手术患者的术中应激反应，改善心肌缺血，术后患者恢复快，并发症少且轻，值得临床推广使用。 　　【关键词】胸科手术；高位硬膜外麻醉；静吸复合全麻；心率 　　【中图分类号】R776.1 【文献标识码】B 【文章编号】1003-5028（2015）8-0588-01 　　【Abstract】Objective: to analyze high epidural anesthesia and the static absorption composite application of general anesthesia in thoracic surgery anesthesia effect. Methods: to choose as the research object, 80 patients who underwent open heart surgery were randomly divided into control group and observation group, the control group with accept simple static suction compound anesthesia, observation group of patients receiving high epidural anesthesia and the static absorption compound anesthesia. To compare the anesthesia effect of two groups of patients. Results: control group in patients with heart rate and blood pressure have obvious fluctuation during the procedure, the observation group of patients is relatively stable, thus significantly reducing the occurrence of stress reaction in the process of anesthesia; Observation group of patients during anesthesia general anesthetics dosage, VAS score, rehabilitation after surgery and recovery time was significantly lower than the control group patients (P lt; 0.05); Observation group of patients cough expectoration drainage and postoperative pulmonary infection patients with complications such as significantly less than the control group (P lt; 0.05). Conclusion: high epidural anesthesia and the static absorption line can effectively reduce thoracic surgery in patients with general anesthesia in stress reaction, improve myocardial ischemia, quicker recovery of patients, with less complications and, worth clinical pr