胸段硬膜外阻滞复合全身麻醉在高血压患者腹腔镜手术中的应用

Thoracic epidural block combined with general anesthesia in hypertensive patients during laparoscopic operation application

目的:比较胸段硬膜外复合全身麻醉与全身麻醉在腹腔镜手术中对高血压患者血流动力学的影响。方法:60例原发性高血压患者()均分为硬膜外复合全麻组(Y组)和全麻组(Q组),在腹腔镜下行胆囊切除术。分别记录入室时、诱导后、插管即刻、插管后5分钟、拔管即刻、拔管后5分钟的SBP、DBP、HR。结果:Y组患者各时点的SBP、DBP均显著低于Q组(P<0.01)。结论:硬膜外复合全身麻醉比全身麻醉对患者血流动力学影响要小。

Objective To compare thoracic epidural compounded general aneathesia with general aneathesia to influence the hemodynamics of hyperpietic during laparoscopic surgery.Methods sixty hyperpitic equally assigned to epidural compound general aneathesia group(Group Y) and general aneathesia group(Group Q) do laparoscopic cholecystectomy.Noninvasive blood pressure and heart rate was recorded when entering oprating room,after induction,when endotracheal intubation,five minites after endotracheal intubation,when extubation,five minites after extubation.Result Noninvasive systolic blood pressure and diastolic blood presser of group Y is significantly lower than group P(P<0.01).Conclusion Epidural compounded general aneathesia have less influence to the hemodynamics of hyperpietic than general aneathsia.