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全麻复合硬膜外麻醉在糖尿病腹部手术中的应用价值研究

Study on the Application Value of General Anesthesia Compound Epidu⁃ral Anesthesia in Diabetic Abdominal Surgery
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摘要 目的研究全麻复合硬膜外麻醉在糖尿病腹部手术中的应用价值。方法选取2021年3月—2023年8月咸宁市第一人民医院收治的92例接受腹部手术的糖尿病患者为例,按随机数表法分组,各46例。对照组麻醉方式选择全麻,研究组麻醉方式选择全麻复合硬膜外麻醉,分析其应用价值。结果研究组患者T1、T2、T3时刻血糖水平明显低于对照组,差异有统计学意义(P<0.05)。研究组患者T1、T2、T3时刻HR明显低于对照组,血氧饱和度和平均动脉压明显高于对照组,差异有统计学意义(P<0.05)。两组T0时刻血浆胰岛素水平对比,差异无统计学意义(P>0.05)。研究组患者T1、T2、T3时刻血浆胰岛素水平明显高于对照组,差异有统计学意义(P<0.05)。结论全麻复合硬膜外麻醉应用至糖尿病腹部手术中有助于平稳血糖水平、胰岛素水平及血流动力学,保证手术顺利进行。 Objective To study the application value of general anesthesia compound epidural anesthesia in diabetic abdominal surgery.Methods A total of 92 diabetic patients who underwent abdominal surgery admitted to the First People's Hospital of Xianning City from March 2021 to August 2023 were selected as examples,and divided into 46 patients according to random number table method.General anesthesia was selected for the control group,and general anesthesia combined with epidural anesthesia for the study group.Results The blood glucose level at T1,T2 and T3 of the study group was significantly lower than that of the control group,and the difference was statistically significant(P<0.05).HR at T1,T2 and T3 in the study group were significantly lower than those in the control group,and oxygen saturation and mean arterial pressure were significantly higher than those in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in plasma insulin level between the two groups at T0 time(P>0.05).The plasma insulin levels in the study group at T1,T2 and T3 were significantly higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of general anesthesia combined with epidural anesthesia to diabetic abdominal surgery helps to smooth the blood glucose level,insulin level and hemodynamics,and ensures the smooth progress of surgery.
作者 艾麟 刘乐 AI Lin;LIU Le(Department of Anesthesiology,Xianning First People's Hospital,Xianning,Hubei Province,437000 China;Depart-ment of Ultrasonography,Xianning First People's Hospital,Xianning,Hubei Province,437000 China)
出处 《糖尿病新世界》 2023年第20期54-56,60,共4页 Diabetes New World Magazine
关键词 全麻 硬膜外麻醉 糖尿病 腹部手术 血流动力学 胰岛素水平 General anesthesia Epidural anesthesia Diabetes mellitus Abdominal surgery Hemodynamics Insulin level
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