老年高血压患者腹腔镜胆囊切除术麻醉方式选择研究.docVIP

精品论文 参考文献 老年高血压患者腹腔镜胆囊切除术麻醉方式选择研究 张静、毛安琼 　　泸州医学院附属医院麻醉科 646000 　　摘要：目的 探讨静吸复合全身麻醉在老年高血压患者腹腔镜胆囊切除术中的麻醉效果；方法 研究对象选自2014年1月至2015年6月于我院肝胆外科就诊的胆囊结石患者80例，随机分为研究组、对照组各40例。研究组应用全身麻醉联合硬膜外麻醉，对照组单纯应用全身麻醉。采用记录麻醉前（T0）、插管后即刻（T1）、气腹后10 min（T2）、拔管前即刻（T3）的SBP、DBP、心率（HR）、血氧饱和度（SpO2）。比较两组患者在呼吸恢复时间、睁眼时间、拔管时间和定向力恢复时间的差异；结果 插管后即刻（T1）、气腹后10 min（T2）、拔管前即刻（T3）三个时间段研究组的SBP、DBP均明显低于对照组，HR明显高于对照组。各时段两组SPO2水平差异无统计学意义（P＞0.05）。研究组患者术后呼吸恢复时间（7.82plusmn;3.13）min、睁眼时间（7.82plusmn;3.13）min，拔管时间（16.72plusmn;4.26）min，定向力恢复时间（19.56plusmn;5.25）min，各项指标均明显优于对照组（P＜0.05或P＜0.01）；结论 老年高血压患者行腹腔镜胆囊切除术应用静吸复合全身麻醉，可有效维持患者血流动力学指标的稳定性，麻醉效果好，术后恢复快，可作为临床应用的优先选择。 　　关键词：腹腔镜胆囊切除术；静吸复合；全身麻醉；高血压；老年 　　Study on anesthesia of laparoscopic cholecystectomy for elderly patients with hypertension 　　[Abstract]:Objective:To investigate the anesthetic effect of intravenous anesthesia combined with general anesthesia in aged patients with hypertension;Methods:From January 2014 to June 2015 in our hospital department of hepatobiliary surgery, 80 cases of patients with gallbladder stones were randomly divided into study group and control group, 40 cases in each group. The research group was treated with general anesthesia combined with epidural anesthesia, and the control group was treated with general anesthesia. The record before anesthesia (T0), after intubation immediately (T1), pneumoperitoneum after 10 min (T2), drawing tube immediately before (T3) of SBP, DBP, heart rate (HR), oxygen saturation (SpO2). The difference between the two groups of patients with eye opening time, extubation time and recovery time, recovery time in breathing; Results:After intubation immediately (T1), pneumoperitoneum after 10 min (T2), drawing tube immediately before (T3) three time study group the SBP and DBP were significantly lower than that of the control group, HR was significantly higher than that of the control group. There was no significant difference in SPO2 levels between the two groups (P gt; 0.05). Patients in the study group were breat