摘要
目的对比全麻复合硬膜外阻滞麻醉与单纯全麻对患者术中的影响,并总结全麻复合硬膜外阻滞麻醉的护理要点。方法选择上腹部手术的全麻复合硬膜外阻滞麻醉患者60例,随机分为联合组和对照组,每组各30例。联合组采用全麻复合硬膜外阻滞麻醉,对照组采用单纯气管内全麻。对插管前后两组患者的生命体征进行观察比较。结果联合组插管前后生命体征变化不明显;对照组插管前后,生命体征变化有统计学差异(均P<0.05)。且联合组的术后苏醒时间较对照组缩短。结论全麻复合硬膜外阻滞麻醉适用于上腹部手术,患者术中生命体征稳定。护理人员要重视患者术中体位和心理评估。
Objective To compare the influence of general anesthesia combined with peridural anesthesia and general anesthesia alone on the patients during operation. Methods A total of 60 patients who had epigastrie operation were randomly divided into two groups, 30 each in the combination group and the control group. Patients in the combination group had general anesthesia combined with peridural anesthesia and patients in the control group had general anesthesia alone. Changes of patients＇ vital signs before and after intubation were compared between the two groups. Result Patients in the combination group had no significant changes of vital signs before and after intubation, while patients in the control group had significant changes of vital signs before and after intubation（P 〈 0.05）. Conclusions General anesthesia combined with peridural anesthesia suits epigastrie operation,where patients＇ vital signs are stable.Nurses should pay attention to patients＇ posture during operation and their psychological evaluation.
出处
《现代临床护理》
2008年第5期39-40,44,共3页
Modern Clinical Nursing
关键词
全身麻醉
硬膜外阻滞麻醉
护理
general anesthesia
peridural anesthesia
nursing
