摘要
目的分析并比对全麻与全麻复合硬膜外麻醉在糖尿病腹部手术中的应用效果。方法选择于2018年5月—2019年1月期间在该院接受腹部手术的58例糖尿病患者作为研究对象,接受全麻的31例患者归为对照组,接受全麻复合硬膜外麻醉的27例患者归为实验组,比对分析两组患者不同时段的血糖水平与平均动脉压、心率。结果实验组患者麻醉后、术30 min以及术1 h的血糖水平均低于对照组患者,组间差异有统计学意义(P<0.05);实验组患者麻醉后、手术时以及手术后的平均动脉压、心率均低于对照组患者,各项数据组间差异有统计学意义(P<0.05)。结论对接受腹部手术的糖尿病患者行全麻符合硬膜外麻醉,效果更好,可以稳定患者血糖。
Objective To analyze and compare the effects of general anesthesia and general anesthesia combined with epidural anesthesia in diabetic abdominal surgery. Methods A total of 58 patients with diabetes who underwent abdominal surgery in our hospital from May 2018 to January 2019 were enrolled. 31 patients who underwent general anesthesia were included in the control group and underwent general anesthesia combined with epidural anesthesia. 27 patients were assigned to the experimental group. The blood glucose levels and mean arterial pressure and heart rate were compared between the two groups at different time points. Results The blood glucose levels of the experimental group after anesthesia, 30 min and 1 h were lower than those of the control group. The difference between the two groups was statistically significant(P<0.05). The average arterial pressure of the experimental group after anesthesia, surgery and postoperatively heart rate were lower than that of the control group, and the difference between the data groups was statistically significant(P<0.05). Conclusion General anesthesia for diabetic patients undergoing abdominal surgery is consistent with epidural anesthesia, which is more effective and can stabilize the patient's blood glucose.
作者
张保锁
ZHANG Bao-suo(Department of Surgery,Shaozhuang Town Central Hospital,Caoxian,Shandong Province,274400 China)
出处
《糖尿病新世界》
2019年第12期47-48,共2页
Diabetes New World Magazine
关键词
糖尿病
腹部手术
全麻
硬膜外麻醉
效果分析
Diabetes
Abdominal surgery
General anesthesia
Epidural anesthesia
Effect analysis
