两种麻醉方法对老年冠心病患者行下肢手术术后转归的影响

Effect of Two Anesthetic Methods on Postoperative Outcome of Elderly Patients With Coronary Heart Disease After Lower Extremity Surgery

目的观察两种麻醉方法对老年冠心病患者实施下肢手术术后转归的影响。方法选择2016年10月—2017年5月在我院接受下肢手术治疗的老年冠心病患者共48例,分为观察组与对照组。观察组患者采用腰-硬联合麻醉,对照组患者采用顺苯磺酸阿曲库铵-舒芬太尼-异丙酚实施麻醉,所有患者术毕均用帕瑞昔布-舒芬太尼-氟哌利多联合镇痛,观察两组患者术后6 h、12 h、24 h、48 h、72 h的VAS、MAP、HR及不良反应,并在术后30 d、90 d随访转归情况。结果两组患者术后各项生理指标、不良反应差异无统计学意义(P>0.05),术后30 d、90 d死亡率差异也无统计学意义(P>0.05)。结论两种麻醉方法均可安全地在老年冠心病患者行下肢手术中应用,且两种麻醉方法对术后患者转归无明显差异。

Objective To observe the effect of two anesthesia methods on postoperative reversion of patients with coronary heart disease. Methods 48 cases of elderly patients with coronary heart disease treated with lower limb surgery in our hospital from October 2016 to May 2017 were divided into observation group and control group. Observation group were treated by lumbar-hard combined anesthesia, the control group were treated by suitable benzene atracurium sufentanil-propofol anaesthesia, all patients who finish with parry smoothie cloth-sufentanil- droperidol joint pain, The 6 h, 12 h, 24 h, 48 h, 72 h and VAS, MAP, HR and adverse reactions were observed in the two groups, and 30 d,90 d follow-up outcomes after surgery. Results There was no significant difference between the two groups＇physiological indexes and adverse reactions（P 〉 0.05）, and there was no significant difference in the mortality rate of 30 d and 90 d after operation （P 〉 0.05）. Conclusion Both anesthetic methods can be used safely in elderly patients with coronary artery disease, and the two anesthesia methods have no obvious difference to the patients after operation.