两种麻醉方式对老年患者术后恢复期循环呼吸及神经系统的影响

发布时间：2019-04-10 21:32

【摘要】：目的观察两种麻醉方式对老年手术患者术后麻醉恢复期循环、呼吸及神经系统的影响,探讨老年患者更适宜的麻醉方式。方法选取该院2011年1月-2013年12月90例接受手术的老年患者,比较接受全身麻醉与全身麻醉复合硬膜外麻醉术后恢复期患者循环、呼吸及神经参数的变化。结果两组患者拔管后呼吸频率(RR)增快,每分通气量(MV)和血氧饱和度(SPO2)降低。复合组患者气管插管后平均动血压(MAP)和心率(HR)相对稳定,与全麻组比较差异有统计学意义。两组患者出现吞咽反射时间、拔管时间、完全清醒时间及术后1、2和3 d的简易精神状态检查表(MMSE)评分比较,差异有统计学意义(P0.05)。结论全身麻醉复合硬膜外麻醉能很好地维持循环、呼吸及神经系统功能,是更适合于老年患者的麻醉方式。
[Abstract]:Objective to observe the effects of two anaesthesia modes on the circulation, respiration and nervous system in the recovery period of anesthesia in elderly patients after operation, and to explore the more suitable anesthetic mode in elderly patients. Methods from January 2011 to December 2013, 90 elderly patients undergoing surgery in our hospital were selected to compare the changes of circulation, respiration and nerve parameters after general anesthesia and general anesthesia combined with epidural anesthesia. Results after extubation, respiratory rate (RR) increased, (MV) and SPO2 decreased. The mean ambulatory blood pressure (MAP) and heart rate (HR) of the combined group were relatively stable after endotracheal intubation, which were significantly different from those of the general anesthesia group. There were significant differences between the two groups in swallowing reflex time, extubation time, complete awake time and the (MMSE) scores of the simple mental state examination form on the 1st, 2nd and 3rd day after operation (P0.05). Conclusion General anesthesia combined with epidural anesthesia can maintain circulation, respiration and nervous system function well, and it is more suitable for elderly patients.
【作者单位】：生物医学信息研究重点实验室;中南大学湘雅三医院麻醉科;中南大学湘雅三医院肾内科;
【分类号】：R614

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