全麻复合硬膜外阻滞用于老年高血压患者食管癌手术

Application of General Anesthesia Combined with Epidural Block in Operation for Esophageal Carcinoma in Senile Patients with Hypertension

目的:观察全麻复合硬膜外阻滞用于老年高血压病人食管癌手术的效果及安全性。方法:50例择期行食管癌根治术的老年高血压患者,随机分为全麻组(G组)和全麻复合硬膜外阻滞组(E组),监测两组患者术中的血流动力学和ECG的变化及全麻用药量和苏醒时间。结果:G组出现明显的心血管反应,术中持续较高的水平(P<0.05)。E组血液动力学相对稳定,组间比较有显著性差异(P<0.05),心肌缺血有所改善,全麻药用量少,无苏醒延迟发生。结论:全麻复合硬膜外阻滞可减轻应激反应,循环状态稳定,是老年高血压患者食管癌手术的首选麻醉方法。

Objective：To observe the efficacy and safety of general anesthesia combined with epidural block on operation for esophageal carcinoma in Senile patients with hypertension.Methods：50 senile patients with hypertension selectively underwent operation of esophagoectomy were randomly divided into two groups：group G with general anesthesia and group E with general anesthesia and epidural block.The hemodynamics and ECG,dosage of anesthetic and awakening delay were detected.Results：Cardiovascular reaction in group G was obvious and remain in higher level（P〈0.05）,hemadynamics in group E was stable,showing singnificant difference（P〈0.05）.In group E,the myocardial ischemia obviously improved with less dosage of anesthetic and without delay awakening.Conclusion：General anesthesia combined with epidural block could induce stress reaction,with stable ciculation.It may be the first choice of anesthesia for operation for esophageal carcinoma in senile patients with hypertension.