不同麻醉方式处理休克病人的46例临床研究

Clinical Study on Different Anesthesia Methods of Shock with 46 Cases

目的:观察并分析对休克病人实施不同的麻醉处理方式的临床效果。方法:选取2012年2月至2013年2月我院收治的临床休克患者46例,选择性的实施不同的麻醉方式进行处理。比较患者麻醉前后各项监测指标的变化情况。结果:实施麻醉术后,有43例患者表现为正常;2例因大出血抢救无效而死亡;1例因多器官功能发生衰竭而死亡;术中未发生因麻醉不当而导致的患者死亡。术后生命体征正常的患者明显高于死亡的患者,差异有统计学意义(P<0.05)。患者手术之后各项指标显著优于手术前,差异有统计学意义(P<0.05)。结论:对临床休克病人采取合适的麻醉方式,可以有效的辅助手术顺利进行,提高手术的成功率和患者的存活率,值得临床推广。

Objective： To observe and analyze the clinical efficacy of different anesthesia methods for patients in shock. Methods： 46 cases with clinical shock who were treated in our hospital from February 2012 to February 2013 were selected to conduct different anesthesia methods which was suitable for patients. Then the clinical parameters of patients were compared and analyzed before and after the anesthesia. Results： After the anesthesia, 43 cases were normal, 2 cases were invalid for hemorrhage, another one was invalid because of functional failure of organs. None of them was anesthesia improper. There was statistically significant difference when compared with pre treatment （P〈0.05）. The clinical parameters of patients were better than before, and there was statistically significant difference（P〈0. 05）. Conclusion： It is suggested that the appropria.te anesthesia methods for shock patients could effectively improve the success rate of surgery and the survival rate of patients, and it is worthy of clinical promotion.