Application of epidural block combined with general anesthesia in upper abdominal and thoracic tumor surgery study
- VernacularTitle:硬膜外阻滞复合全身麻醉在上腹部及胸内肿瘤手术应用的临床研究
- Author:
Qingshan SUN
1
;
Changxi SHAO
;
Zhengyan ZHANG
;
Dianhong WU
;
Chunli WEI
Author Information
1. 吉林省白山市中心医院麻醉科
- Keywords:
Upper abdominal surgery;
Thoracic tumor;
Hemodynamics;
General anesthesia;
Epidural
- From:
China Modern Doctor
2015;(15):105-107
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effect of epidural anesthesia combined with general anesthesia and general anesthesia in upper abdominal and thoracic tumor surgery anesthesia. Methods A total of 80 cases of ASAⅠ-IIelective surgery with the abdomen and chest patients were selected from July 2013 to December 2014 in our hospital, and divided into two groups, each of 40 cases, group A was treated with epidural block joint general anesthesia, group B was treated with general anesthesia. The amount of the anesthesia drug, anesthesia recovery and hemodynamic changes at different times of two groups were compared. Results Propofol, fentanyl and cis-atracurium dosage of group A were significantly reduced than group B, spontaneous breathing surgery recovery time, extubation time and fully awake time were significantly shorter, the occurrence of emergence agitation pain was significantly lower, the differences were statistically significant(P<0.05). HR in group B on T2 was significantly faster than group A, HR, SBP, DBP on T3 and T4 were significantly higher than that in group A, the differences were statistically significant (P<0.05). Conclusion Compare with general anesthesia, anesthesia of intraoperative hemodynamic stability, can suppress the stress response to surgery, recovery after extubation time is shorter than the general anesthesia group, perioperative application is more security and stability.
