摘要
目的探讨全麻复合硬膜外麻醉对老年患者单肺通气肺内分流及动脉氧合的影响。方法随机选择我院2013年5月~2015年12月我院收治的60例行开胸手术的老年患者临床资料,根据不同麻醉方式把60例患者分成2组,1组为全麻组,2组为全麻复合1.0%利多卡因硬膜外麻醉组,每组各30例。比较2组单肺肺通气前、单肺通气10 min、20 min、30 min、40 min的动脉血气及动脉氧合。结果两组单肺通气时动脉氧分压与分流量与通气前对比,均有所下降,全麻复合组下降效果优于单纯全麻组,对比差异有统计学意义（P〈0.05）。结论全麻复合硬膜外麻醉减少老年患者单肺通气肺内分流,降低动脉血氧分压。
Objective Discuss on general anesthesia combined with epidural anesthesia on elderly patients with single lung ventilation pulmonary artery shunt and oxygenation. Methods Randomly selected from May 2013 to December 2015 in our hospital 60 elderly patients with clinical data,depending on the anesthesia,60 patients were divided into two groups, ]one group for the general anesthesia. Group 2 to 1.0% lidocaine anesthesia combined with epidural anesthesia group,30 cases in each. Compared the two groups before the single-lung ventilation lung,single lung ventilation 10 min,20 min,30 min, 40 min of arterial blood gases and arterial oxygenation. Results Arterial oxygen pressure and flow and ventilation points when comparing the two groups,had declined. Epidural anesthesia group decreased more effective than general anesthesia group,compared to the difference was statistically significant（P 0.05）. Conclusion Anesthesia combined with epidural anesthesia in elderly patients with reduced single-lung ventilation pulmonary shunt,reduced arterial oxygen tension.
出处
《中国卫生标准管理》
2016年第4期180-181,共2页
China Health Standard Management
关键词
全麻复合硬膜外麻醉
单肺通气肺内分流
动脉氧合
General anesthesia combined with epidural anesthesia
Single lung ventilation pulmonary artery shunt
Arterial oxygenation
