高龄冠心病患者上腹部手术麻醉处理研究.docVIP

高龄冠心病患者上腹部手术麻醉处理研究 　　[摘要] 目的 分析高龄冠心病患者上腹部手术的麻醉处理方式。方法 随机选取该院于2014年9月―2017年1月期间收治的120例高龄冠心病患者为研究对象，按照入院先后顺序，分为观察组与对照组，各60例。上腹部手术治疗时，对照组，行硬膜外麻醉，观察组，行联合麻醉，对比分析麻醉效果。结果 对比患者麻醉效果，观察组有效率为95.0%，对照组为83.3%，组间差异有统计学意义（P0.05）。对比并发症情况，观察组发生率为5.0%，对照组为15.0%，观察组明显低于对照组，组间差异有统计学意义（P0.05）。结论 高龄冠心病患者，上腹部手术治疗时，采用联合麻醉方式，效果显著，安全高，值得临床推广。 　　[关键词] 冠心病；上腹部手术；麻醉处理 　　[中图分类号] R614 [文献标识码] A [文章编号] 1674-0742（2017）10（c）-0068-03 　　Anesthesia Treatment of Upper Abdominal Surgery in Elderly Patients with Coronary Heart Disease 　　QIN Guang-wei 　　Department of Anesthesiology， Zhaoyuan TCM Hospital， Zhaoyuan， Shandong Province， 265400 China 　　[Abstract] Objective This paper tries to analyze the anesthesia treatment of upper abdominal surgery in elderly patients with coronary heart disease. Methods 120 cases of elderly patients with coronary heart disease admitted from September 2014 to January 2017 were randomly selected and divided into the observation group and the control group according to the order of admission， with 60 cases in each group. In the treatment of upper abdominal surgery， the control group adopted epidural anesthesia， the observation group adopted combined anesthesia， and then the anesthesia effect of the two groups were compared and analyzed. Results The effective rate was 95.0% in the observation group and 83.3% in the control group. There was significant difference between the two groups （P0.05）. The incidence of complications was 5.0% in the observation group and 15.0% in the control group and that in the observation group was significantly lower than the control group， the difference between the two groups was statistically significant（P0.05）. Conclusion In elderly patients with coronary heart disease， the application of combined anesthesia for upper abdominal surgery is significantly effective and safe， therefore it is worthy of clinical promotion. 　　[Key words] Coronary heart disease； Upper abdominal surgery； Anesthesia treatment 　　冠心病?儆谛难?管常见疾病，具有发病率高的特点，以老年人为主要发病群