糖尿病腹部手术中全麻复合硬膜外麻醉和全麻两种麻醉方法的疗效对比

Diabetes Abdominal Surgery in General Anesthesia Compound Epidural Anesthesia and General Anesthesia the Curative Effect of two Methods of Anesthesia

目的探讨全麻复合硬膜外麻醉和全麻用于糖尿病腹部手术中的疗效对比分析。方法接受糖尿病腹部手术中的老年患者62例,随机分为两组,观察组采全麻复合硬膜外麻醉,对照组采用全麻。观察两组麻醉前后血流动力学变化。结果全麻复合硬膜外麻醉优于全麻(90.3%vs83.9%)。差异无统计学意义(P>0.05)。术后认知障碍,深静脉栓塞发生率低于全麻(P<0.05)。结论全麻复合硬膜外麻醉,全麻均可用于老年糖尿病腹部手术,但前者并发症较少。

Objective Discusses general anesthesia compound epidural anesthesia and general anesthesia for curative effect analysis in diabetes abdominal surgery. Methods Diabetes abdominal surgery in 62 cases of elderly patients and randomly divided into 2 groups, the observation group in general anesthesia compound epidural anesthesia, the control group with general anesthesia. Observe two groups hemodynamic changes before and after anesthesia. Result General anesthesia com-pound epidural anesthesia is superior to general anesthesia （90.3% vs83.9 %）. No statistical significance （P〉 0.05）. Postop-erative cognitive impairment, lower incidence of deep vein thrombosis during anesthesia （P 〈 0.05）. Conclusion General anesthesia compound epidural anesthesia, general anesthesia can be used in elderly diabetes abdominal surgery, but the former with less complications.