摘要
目的对肺部肿瘤合并轻度肺心病麻醉方法进行分析。方法选取我院收治的肺部肿瘤合并轻度肺心病患者42例,随机分为两组,每组20例,甲组采用单纯气管插管全麻进行手术治疗;乙组采用连续硬膜外麻醉联合全麻插管手术治疗,对比两组患者的麻醉效果和术后不良反应。结果乙组患者在气管插管时、气管插管后各项生命体征、术后苏醒时间、全麻药物使用量、术后并发症显著优越于甲组患者,上述指标组间比较差异均具有显著性(P值均<0.05).结论针对肺部肿瘤合并肺心病患者采用连续硬膜外麻醉联合全麻插管进行麻醉,疗效确切、安全,具有较高的临床价值。
Objective To analyze the anesthetic methods in the treatment of lung tumor patients complicated with mild pulmonary heart disease. Methods 42 lung tumor patients complicated with mild pulmonary heart disease were randomly divided into two groups. The group A used simple endotracheal intubation anesthesia for operative treatment, and the group B used continual epidural anesthesia combined with intubation anesthesia for operative treatment. The anesthetic effect and adverse reactions after operation were analyzed and compared between the two groups. Results The vital signs before and after tracheal intubation, recovery time after operation, usage a- mount of anesthesia drugs and postoperative complications were significantly better in the group A than in the group B （ P 〈 0. 05 ）. Con- clusion Continual epidural anesthesia combined with intubation anesthesia not only has exact and safe efficacy, but also has high clinical value in the treatment of lung tumor patients complicated with mild pulmonary heart disease.
出处
《临床肺科杂志》
2013年第9期1649-1650,共2页
Journal of Clinical Pulmonary Medicine
关键词
肺部肿瘤
轻度肺心病
全麻
连续硬膜外麻醉
麻醉效果比较
lung tumor
mild pulmonary heart disease
general anesthesia
continual epidural anesthesia
comparison of anes- thetic effect
