全麻复合硬膜外阻滞麻醉用于开胸手术临床观察

Application of general anesthesia compound epidural block in thoracotomy

目的探讨全麻复合硬膜外阻滞开胸手术对患者术后恢复的影响。方法将60例患者分为全麻加硬膜外阻滞组(Ⅰ组)和全麻组(Ⅱ组),每组各30例。Ⅰ组静脉吸入复合麻醉加高位硬膜外阻滞,Ⅱ组单纯静脉吸入复合麻醉。比较两组术中麻醉药使用情况、术后清醒拔管时间、术后镇痛效果以及并发症的发生率。结果Ⅰ组术中芬太尼的用药量少于Ⅱ组、术后清醒拔管时间短于Ⅱ组、术后肺部感染比Ⅱ组少(P<0.05)。结论开胸手术全麻复合硬膜外阻滞优于单纯全麻。

Objective To observe the influence of general anesthesia compound epidural block on the postoperative recovery of patients undergoing chest surgery. Methods Sixty patients were divide into the general anesthesia plus epidural block group （ group Ⅰ ） and general anesthesia group （ group Ⅱ ）, each group having 30 patients. Group I was given intrvenous and inhalational compound anesthesia plus high epidural block. Group Ⅱ was only given intravenous and inhalational compound anesthesia. The dosage, the time for decanulation, the pain-relieving effect, and complications were compared between the two groups. Results In group Ⅰ, the dosage of fentanyl was lower, the time for decanulation was shorter, and the postoperative pulmonary infection was fewer than those in group Ⅱ （P 〈 0. 05 ）. Conclusion General anesthesia compound epidural block is superior to single general anesthesia.