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不同麻醉方法对伴有心肌缺血老年患者围术期肌钙蛋白Ⅰ的影响

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摘要 目的观察不同麻醉方法对65岁以上伴有心肌缺血老年患者行食管癌根治术围麻醉期肌钙蛋白I(cT-nI)的影响。方法 30例65岁以上伴有心肌缺血老年食管癌患者,随机分为两组,每组15例,硬膜外阻滞联合全麻(I)组和全麻(Ⅱ)组,分别测定术前(T1)、术毕4(T2)2、4h(T3)及72h(T4)血浆肌钙蛋白I的水平。结果与T1比较,T2~4时两组CTnI升高(P<0.05或0.01)。两组间比较,差异无统计学意义(P>0.05)。结论维持伴有心肌缺血老年患者术中血压和心率波动不超出其术前基础水平20%,有利于此类患者围麻醉期心肌保护,麻醉方法的选择对围麻醉期肌钙蛋白I无影响。
出处 《宁夏医科大学学报》 2010年第9期995-997,共3页 Journal of Ningxia Medical University
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