摘要
目的:探讨老年女性乳腺疾病患者的硬膜外麻醉期间的管理方法。方法:选择ASA在Ⅱ～Ⅲ级的年龄超过60岁的老年女性乳腺疾病患者,进行硬膜外麻醉操作,术中监测记录心电图(ECG),平均动脉压(MAP),呼吸频率(RR),心率(HR),血氧饱和度(SpO★)等指标的变化,记录试验剂量、麻醉平面的变化。结果:麻醉后15min、45min患者的MAP、RR、HR分别与基础值差异有显著意义(P<0.05)。结论:选择合适的局麻药浓度、容量,加强监测,合理应用辅助镇痛镇静药物,针对老年女性患者乳腺手术采取硬膜外麻醉能够取得安全、满意的麻醉效果。
Objective：To observe the experience of management about the disease of mammary gland in old ladies during the epidural blockage.Methods：Patients who suffer from the disease of mammary gland,more than 60yrs.ASA II-III were given epidural blockage,ECG,MAP, RR, HR,SpO2 were recorded.Results：MAP. RR. HR after 15rain and 45min was significant difference to the basic line（P〈0.05）.Conclusion：Suitable concentration and volume of local anesthesia,perfect monitory, reasonable use of assistant drug can result a safety, satisfied effection.
出处
《中国医药导刊》
2011年第7期1162-1163,共2页
Chinese Journal of Medicinal Guide
关键词
老年女性
乳腺手术
硬膜外麻醉
Old ladies
Operation of mammary gland
Epidural blockage
