快通道心脏麻醉在心脏手术中应用效果研究.docVIP

快通道心脏麻醉在心脏手术中应用效果研究 　　【摘要】 目的：探讨快通道心脏麻醉在心脏手术中的临床应用效果。方法：选择2013年1月-2015年12月本院收治的心脏手术患者1040例，根据随机数字表法分为观察组与常规组，每组520例。常规组采取常规麻醉方法，观察组采取快通道心脏麻醉，比较两组效果。结果：观察组患者镇痛效果0级450例，1级70例，常规组0级460例，1级60例，两组麻醉后镇痛效果对比，差异无统计学意义（P0.05）。观察组警觉-镇静评分2分40例，3分300例，4分160例，5分20例，常规组2分0例，3分40例，4分270例，5分210例，两组对比差异有统计学意义（P0.05）。观察组定位感、呼吸睁眼时间及拔管时间分别为（5.45±0.54）min、（4.21±0.52）min、（3.50±0.54）min，常规组分别为（24.30±2.11）min、（14.21±2.22）min、（10.70±0.74）min，两组以上各指标对比差异均有统计学意义（P0.05）。与T0时段相比，两组T1～T3时段DBP和SBP均下降，而HR增快，差异均有统计学意义（P0.05），常规组DBP、SBP及HR等指标改变均显著大于观察组（P0.05）。结论：快通道心脏麻醉是一种有效、稳定的麻醉方法，值得临床推广应用。 　　【关键词】 快通道； 心脏麻醉； 心脏手术 　　【Abstract】 Objective：To explore the clinical application of fast track cardiac anesthesia in cardiac surgery.Method：A total of 1040 cases of cardiac surgery patients were selected in our hospital from January 2013 to December 2015，according to the method of random number table，they were divided into the observation group and the conventional group，520 cases in each group.The conventional group was given conventional anesthesia，the observation group was given the rapid passage of cardiac anesthesia，the effects of two groups were compared.Result：The analgesic effect of the observation group was 450 cases in 0 level，70 cases in 1 level，the conventional group was 460 cases in 0 level，60 cases in 1 level，two groups of patients had no significant difference in the analgesic effect after anesthesia（P0.05）.In the observation group，40 patients in the 2 scores，300 cases in 3 scores，160 cases in 4 scores，20 cases in 5 scores.There was significant difference in the alert sedation score between two groups（P0.05）.The observation group of patients，location of breathing eye opening time and extubation time were （5.45±0.54）min，（4.21±0.52）min，（3.50±0.54）min，the conventional group were （24.30±2.11）min，（14.21±2.22）min，（10.70±0.74）min，the observation group patients were significantly lower than those of the conventional group，there were significant differences（P0.05）.Compared with T0，SBP and DBP were d