全身麻醉复合硬膜外阻滞用于胸腔手术的观察

Combined General Anesthesia with Epidural Block for Thoracic Surgery

观察４２例胸腔手术病人用复合麻醉的优点。随机分成单纯全麻（１组）和硬膜外阻滞加全麻（２组）两组。结果提示：所有病人平均动脉压（ＭＡＰ）、心率（ＨＲ）在诱导期的测量值与诱导前相比无显著性差异，但１组在气管插管后、切皮术毕ＭＡＰ均显著性升高，ＨＲ增快，与诱导前和２组比较差异均有显著性（Ｐ＜００１）；同时芬太尼和箭毒用量分别较２组高４２９％和４１１％。结论：全麻复合硬膜外阻滞的方法围术期镇痛效果好，生理扰乱小，麻醉苏醒期短，术后肺部并发症少，体现出麻醉方式互补的优越性。

patients undergoing thoracic surgery were observed for a discussion on the advantages of combined anestheia. The patients were randomized into general anesthesia(Group 1) and general anesthesia with epidural block(Group 2). The result indicated that the MAP and the HR occurred during the induction period. Whereas both in group 2 were evidently increased after intubation, incision and the operation ending, as compared to that in group 2 and that before induction ( P <0 01). The dosage of fentanyl and curamine in group 1 is respectively 42 9% and 41 1% larger than that in group 2. So we considered that general anesthesia combined with epidural blocks was avantageous for good effect in postoperative analgesia, little physical interference, speedy resuscitation and decreased pulmonary compliacations.