胸部手术中联合应用全身麻醉与硬膜外麻醉的临床分析

Clinical Analysis of Combined Application of General Anesthesia and Epidural Anesthesia in Thoracic Surgery

目的探究采用全身麻醉联合硬膜外麻醉在患者胸部手术中的应用效果。方法方便选取2012年11月—2017年6月进入该院治疗的需进行胸部手术的患者共120例,将患者随机分为两组,其中对照组患者采取传统的全身麻醉手段,观察组患者采取全身麻醉联合硬膜外麻醉方法,比较两组患者在术前、术中以及术后SBP、DBP、MAP、HR、Sp O2等各项生理指标以及患者苏醒,从而对全身麻醉联合硬膜外麻醉的效果做出评价。结果麻醉后观察组SBP(126.1±6.9)mm Hg、DBP(66.9±8.5)mm Hg、MAP(86.9±7.4)mm Hg、HR(82.5±7.5)次/min明显低于对照组(P<0.05);观察组患者在拔管时间为(8.5±4.5)min;呼吸恢复时间为(27.6±4.9)min;苏醒时间为(28.6±3.9)min,明显短于对照组(P<0.05)。结论利用全身麻醉联合硬膜外麻醉对胸部手术患者麻醉效果较好,具有临床应用价值。

Objective This paper tries to explore the effect of general anesthesia combined with epidural anesthesia in patients with thoracic surgery. Methods 120 cases for chest surgery from November 2011 to June 2017 were convenient selected and were randomly divided into two groups, the patients in the control group were treated with conventional anesthesia, and the patients in the observation group were treated with general anesthesia combined with epidural anesthesia, the effects of SBP, DBP, MAP, HR, Sp O2 and other physiologic indexes and revival were compared before and after operation,and the effect of general anesthesia combined with epidural anesthesia was evaluated. Results The level of SBP was（126.1±6.9）mmHg, DBP was（66.9 ±8.5） mmHg, MAP was（86.9 ±7.4）mmHg, HR was（82.5 ±7.5）times/min, significantly lower than that of the control group（P〈0.05）. The duration of respiration was（8.5±4.5）min; the recovery time was（27.6±4.9）min; the awakening time was（28.6±3.9）min, which was significantly shorter than that of the control group（P〈0.05）. Conclusion The use of general anesthesia combined with epidural anesthesia in thoracic surgery achieves better anesthesia effect, which has clinical value.