摘要
目的：比较硬膜外与全身麻醉在老年人胆囊胆道手术的应用。方法：60例择期行胆囊胆道手术老年患者，ASAⅡ～Ⅲ级，随机分为A组和B组。A组采用硬膜外麻醉，B组采用全身麻醉，记录术前、麻醉后、术中平均值的收缩压（DBP），舒张压（SBP）及心率（HR）的变化。结果：A组收缩压、舒张压及心率的变化与术前相比有显著性差异（P〈0．01）；B组收缩压、舒张压及心率的变化与术前相比无显著性差异（P〉0．05）；A组与B组相比，收缩压、舒张压及心率变化有显著性差异（P〈0．05）。结论：全身麻醉用于老年患者胆囊胆道手术，血流动力学稳定，应激反应小，能有效抑制胆心反射，全身麻醉与硬膜外麻醉相比更适合于老年人胆囊胆道手术。
Objective：To compare the application of epidural anesthesia and general anesthesia in gallbladder and biliary surgery in the aged. Methods： 60 aged patients undergoing gallbladder and biliary surgery in grade ASA Ⅱ - Ⅲ were randomly divided into two groups ：group A with epidural anesthesia and group B with general anesthesia. The average value of systolic blood pressure（SBP） , diastolic blood pressure（DBP） and heart rate （HR） were measured before and after anesthesia. Results： The SBP, DBP and HR after anesthesia had significant difference in group A, but no difference in group B. The SBP, DBP and HR between group A and B showed markedly difference （P 〈0.05）. Conclusion： The general anesthesia during gallbladder and biliary surgery in the aged is suitable , with steable hematodynamics and less stress reaction and effective inhibition in gallbladder heart reflex.
出处
《内蒙古医学杂志》
2008年第2期174-175,共2页
Inner Mongolia Medical Journal
关键词
麻醉
老年人
胆道手术
Anesthesia
The aged
Biliary surgery
