全身麻醉联合硬膜外阻滞应用于胸科手术的临床观察

Application of the combined general-epidural anesthesia in thoracic operation

目的:比较全身麻醉联合硬膜外阻滞与单纯全身麻醉用于胸科手术的麻醉效果。方法:72例胸科手术患者随机分为观察组(A组n=36)和对照组(B组n=36)。A组采用全身麻醉联合硬膜外阻滞的方法,B组仅用全身麻醉。结果:A组整个麻醉过程中HR、Bp稳定,术中全身麻醉用量小,拔管及时,患者苏醒快,且便于术后硬膜外腔镇痛。结论:联合麻醉能有效减轻围手术期的应激反应,循环稳定,麻醉平稳,全身麻醉用药量少,术毕清醒快、拔管早、并发症少,有利于患者早日康复。

Objective To compare the anesthetic effect between the combined general-epidural anesthesia and only general anesthesia in thoracic operation.Methods 72 patients who received thoracic operation were divided randomly into the observation group （group A,n=36） and the control group （ group B,n=36）.The patients received combined general-epidural anesthesia in group A,then only general anesthesia in group B.Results The heart rhythm （HR） and the change of blood pressure （Bp） during anesthesia was stable in group A.The amount of general anesthesia dosage in operation was small and the time of extubation was immediately.Patients＇ recovery was fast and it was easy to postoperative epidural analgesia.Conclusion Combined general- epidural anesthesia can decrease effectively the stress response during perioperative period,keep the stable of circulation and anesthesia,use less amount of general anesthesia,rapidly recovery after operation,early extubation,less complication as well as beneficial to patients＇ recovery as early as possible.