摘要
目的探讨全麻联合硬膜外麻醉在老年胸腹部手术中的效果。方法选取我院2014年1月至2017年1月收治的100例老年胸腹部手术患者,按照随机数字表法分为观察组和对照组,每组50例。观察组采用全麻联合硬膜外麻醉的方式,对照组采用单一全麻的方式,比较两组麻醉效果。结果观察组患者的自主呼吸恢复时间、完全清醒时间及拔除气管插管时间均早于对照组,差异具有统计学意义(P<0.05);观察组患者芬太尼、异氟醚、维库溴铵、丙泊酚使用量均少于对照组,差异具有统计学意义(P<0.05)。结论老年胸腹部手术中使用全麻联合硬膜外麻醉,能够降低患者的麻醉药物使用量,缩短自主呼吸恢复时间、完全清醒时间、拔除气管插管时间,提高麻醉安全性。
O b j e c t i v e To investigate the effect of general anesthesia combined with epidural anesthesia on thoracic and abdominal surgery in the elderly patients.M e t h o d s From January 2014 to January 2017,one hundred cases of elderly patients with thoracic and abdominal surgery in our hospital were selected and divided into observation group and control group according to the random number table method,with 50 cases in each group.The observation group was treated with general anesthesia combined with epidural anesthesia.The control group was given a single general anesthesia.The anesthesia effects between the two groups were compared.R e s u l t s The time of spontaneous breathing recovery,completely awake time and extubation time of the observation group were earlier than those of the control group(P<0.05).The usage amount of fentanyl,propofol,isoflurane and vecuronium in the observation group were less than those in the control group,the differences were statistically significant(P<0.05).C o n c l u s i o n General anesthesia combined with epidural anesthesia on thoracic and abdominal surgery in elderly patients can reduce the amount of drugs usage in anesthesia,shorten the recovery time of spontaneous breathing,completely awake time,extubation time,and improve the safety of anesthesia.
作者
贾文博
边步荣
JIA Wen-bo(the People's Hospital of Jingbian County,Yulin 718500;the First Hospital ofYulin,Yulin 718000,China)
出处
《临床医学研究与实践》
2018年第8期94-95,共2页
Clinical Research and Practice
关键词
全麻
硬膜外麻醉
胸腹部手术
general anesthesia
epidural anesthesia
thoracic and abdominal surgery
