休克患者围术期麻醉对预后的影响

The effect of perioperative anesthesia on the prognosis of shock patients

目的:探讨休克患者围术期行麻醉法对预后的影响。方法:回顾性分析收治的48例在围术期进行麻醉的休克患者,比较患者麻醉前后的舒张压、收缩压、血氧饱和度、中心静脉压、心率、呼吸频率等生命体征变化及治疗效果、不良反应发生情况。结果:患者的治疗成功率为95.83%,死亡率为4.17%,并未产生呕吐、恶心、心动过速、肺水肿等不良反应;麻醉后患者的舒张压、收缩压、血氧饱和度、中心静脉压、心率和呼吸频率等各项生命体征指标均优于麻醉前,差异有统计学意义(P<0.05)。结论:围术期麻醉对休克患者的预后效果显著,能帮助患者生命体征快速恢复到正常范围内,避免不良反应的发生,改善预后效果,值得在临床上推广使用。

Objective To explore the effect of anesthesia on prognosis in shock patients during perioperative period.Method 48 cases of shock patients who were treated in the perioperative period were analyzed retrospectively.The diastolic pressure, systolic pressure, blood oxygen saturation, central venous pressure, heart rate, respiratory rate and other life signs before and after anesthesia were compared.Results The success rate of the patients was 95.83%, the mortality rate was 4.17%, and the adverse reactions such as vomiting, nausea, tachycardia and pulmonary edema were not produced, and the diastolic pressure, systolic pressure, oxygen saturation, central venous pressure, heart rate and respiratory frequency were superior to those before anesthesia(P<0.05).Conclusion Perioperative anesthesia has a significant effect on the prognosis of shock patients.It can help patients recover quickly to the normal range, avoid adverse reactions and improve the prognosis.It is worth popularizing in clinical practice.