腰硬联合麻醉复合浅全麻在腹部手术的应用效果

Effect in Spinal-epidural Anesthesia Combined with General Anesthesia in Abdominal Surgery

目的探讨腰硬联合麻醉复合浅全麻在腹部手术中的应用效果。方法将我院80例腹部手术的患者按照麻醉方式不同分为观察组和对照组,对照组采用腰硬联合麻醉加静吸复合麻醉,观察组采用腰硬联合麻醉加瑞芬太尼、异丙酚静脉麻醉,比较两组患者的麻醉效果。结果观察组与对照组在各个时间点的心率、血压波动与对照组无统计学意义(P>0.05)。但观察组清醒时间显著少于对照组(P<0.01)。结论腰硬联合麻醉复合浅全麻对呼吸、循环系统的影响较小,腰硬联合麻醉加瑞芬太尼、异丙酚静脉麻醉优于静吸复合组,是较为安全可靠的。

Objective To Investigate application effect of spinal-epidural anesthesia combined with general anesthesia in abdominal surgery.Methods 80 cases of abdominal operation patients were divided into the observation group and the control group according to the different anesthesia methods.The control group was given combined spinal-epidural anesthesia and inhalation anesthesia,the observation group was given combined spinal-epidural anesthesia combined with remifentanil,propofol,anesthesia effect were compared between two groups.Results The heart rate,blood pressure fluctuation at each time point between the observation group and the control group and the control group were no significance difference（P〉0.05）.But awake time in the observation group was lower than that in the control group（P〈0.01）.Conclusion Combined spinal-epidural anesthesia combined with light general anesthesia had less effect on respiratory and circulatory system;Combined spinal-epidural anesthesia combined with remifentanil and propofol was superior to intravenous inhalation group.It is safe and reliable.