单纯全麻和全麻复合硬膜外对心血管反应的影响

Reaction of circulation system from general anesthesia and peridural anesthesia and general anesthesia

关键词:  全麻  硬膜外麻醉  心血管反应

Key words:  general anesthesia  peridural anesthesia  react of circulatory system

摘要:

[目的］ 观察全麻复合硬膜外麻醉的血液动力学变化。［方法］ 选60例下腹部手术的病例，随机分为单纯全麻（A组）和全麻复合硬膜外（B组）两组，每组30例，观察二组麻醉前、插管、切皮、探查、拔管时的SBP、DBP、MAP、HR的变化，记录呼吸恢复时间、拔管时间、恢复时间。［结果］ 两组中SBP、DBP、MAP、HR，A组变化较大，B组平稳，p<0.05或0.01，有显著性差异，各项苏醒时间A组长于B组。［结论］ 全麻复合硬膜外具有心血管反应较小、血液动力等平稳的优点，且苏醒迅速，无躁动。

Abstract:

［Objective］ To investigate the influencing of cardiac hemodynamics from general anesthesia and & peridural anesthesia.［Methods］ A total of sixty patients with Lower abdomen operations, divides sixty patients into two groups in random allocation. A group: general anesthesia. B group: peridural anesthesia & general anesthesia. To study the difference of two groups SBP. DBP. MAP. HR before anesthesia, intubation, incision, exploration and decannulation, and record the recovery time and decannulation time. ［Results］ Among of SBP. DBP. MAP. HR. B Group is smooth (p<0.01), but A Group Charges much (p<0.05). And the recovery time A group is more than B group. ［Conclusion］ Peridural anesthesia & general anesthesia is better than single general anesthesia which has more influencing of circulatory system, cardiac hemodynamics. Patients wake later and usual restless.