硬膜外阻滞联合全身麻醉在上腹部手术中的应用

Application of epidural block and general anesthesia to upper-abdominal operation

目的探究硬膜外阻滞联合全身麻醉在上腹部手术中的应用。方法回顾性分析2008-02—2013-02我院收治的88例上腹部手术患者行硬膜外阻滞联合全身麻醉的临床资料。结果复合麻醉相较于单纯全麻用药剂量少,可减少患者机体应激反应,预防呼吸抑制,但会降低血压。结论复合麻醉可有效减少上腹部手术应激反应,减少麻醉对循环系统的影响,降低手术风险,值得临床应用和推广。

Objective To probe into the application of epidural block and general anesthesia to upper-abdominal operation.Methods The clinical data of 88 cases undergoing upper-abdominal operation wi.th epidural block and general anesthesia from Feb.2008 to Feb. 2013 at our sanatorium were retrospectively analyzed. Results Combined anesthesia used smaller dosage of pharmacy than general anesthesia, so it could reduce stress reaction on the patient body, prevent respiratory depression, but it could lower blood pressure.Conclusion Combined anesthesia can efficiently reduce stress reaction in upper-abdominal operation, reduce the influence of anesthesia on circulatory system, low-er surgical risks, which is worth clinical application and promotion.