腰-硬联合麻醉在心肺功能不全高龄患者手术中的临床研究

Clinical study of waist-epidural anesthesia in the surgery of elderly patients with cardio-pulmonary dysfunction

目的探讨腰-硬联合麻醉在心肺功能不全高龄患者手术中的临床效果。方法选取我院接受手术治疗的伴有心肺功能不全的高龄患者为研究对象,根据手术时采取的麻醉方式分为观察组和对照组。观察组39例患者采取腰-硬联合麻醉方式,对照组39例患者采取硬膜外麻醉方式。通过比较两组患者实施麻醉后的阻滞起效时间和麻醉效果以及手术过程中心电监测情况,评价腰-硬联合麻醉在心肺功能不全高龄患者手术中的临床效果。结果观察组患者麻醉后阻滞起效时间和麻醉效果优于对照组,且比较差异明显,有统计学意义,P<0.05。两组患者心电监护监测的心率、血压和氧饱和度比较中,观察组患者与对照组未见明显差异,不具有统计学意义,P>0.05。结论腰-硬联合麻醉用于心肺功能不全高龄患者手术麻醉,麻醉效果确切,安全可靠。

Objective To investigate the clinical effect of waist-epidural anesthesia in the surgery of elderly patients with cardiopulmonary dysfunction. Methods 78 elderly patients with cardiopulmonary dysfunction were evenly divided into the observation group and the control group based on different anesthesia methods. The observation group was given waist-epidural anesthesia, and the control group was given epidural anesthesia. The block onset time and anesthetic effect were compared between the two groups. Results The improvement of block onset time and anesthetic effect was more pronounced in the observation group than in the control group （ P 〈 0. 05 ）. There was no significant difference on heart rate monitored by ECG, blood pressure and oxygen saturation between the two groups （P 〉 0. 05 ）. Conclusion Waist-epidural anesthesia has the advantages of exact curative effect and high safety in the treatment of elderly patients with cardio-pulmonary dysfunction.