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《两种不同麻醉方式对患者围手术期应激的影响.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、上海交通大学学报(医学版)JournalofShanghaiJiaotongUniversity(MedicalScience)1681[文章编号]1674—8115(2013)12—1681—03·短篇论著·两种不同麻醉方式对患者围手术期应激的影响仲勇,周嘉,袁岚(上海中医药大学附属曙光医院麻醉科,上海201203)[摘要]目的探讨两种不同麻醉方式对患者围手术期应激的影响。方法按配对设计原则选择腹部手术治疗的患者62例,分为单纯全身麻醉组(A组)和全身麻醉复合硬膜外阻滞组(B组),每组31例,分别于麻醉诱导前(T,)、手术开始后30rain(
2、T)、关腹后(T)和术后24h(T),记录患者心率、平均动脉血压(MABP),测血浆去甲肾上腺素(NE)、血清皮质醇(Cot)和血清c反应蛋白(CRP)浓度。术后记录患者手术时间及出血量。结果两组患者手术时间和出血量比较差异均无统计学意义(P>0.05);T、T和T时间点,B组患者MABP均低于A组患者(P<0.05),T时两组患者MABP比较差异无统计学意义(P>0.05);T,~T各时间点两组患者心率比较差异无统计学意义(P>0.05);T。时间点,B组NE水平明显高于A组(P<0.01),但两组问Cor、CRP比较差异无统计学意义(P>0
3、.05);T、T、T时间点,B组NE、Cor和CRP水平均显著低于A组(P<0.01或P<0.05)。结论全身麻醉复合硬膜外阻滞较单纯全身麻醉更能降低患者围手术期应激反应。[关键词]全身麻醉;硬膜外阻滞;去甲肾上腺素;皮质醇;C反应蛋白[DOI]10.3969/j.issn.1674—8115.2013+12.027[中图分类号]R614.2;R614.42[文献标志码]BStressinperioperativeperiodoftwodifferentanesthesiamethodsZHONGYong,ZHOUJia,YUANLan(Dep
4、artmentofAnesthesiology,ShuguangHospital,ShanghaiUniversityofTraditionalChineseMedicine,Shanghai201203China)【Abstract】ObjectiveToexplorestressinperioperativeperiodoftwodifferentanesthesiamethods.MethodsAccordingtomatchingdesign,62patientsunderwentabdominalsurgerywereselected
5、anddividedintogeneralanesthesiagroup(groupA)andgeneralanesthesiacombinedwithepiduralblockgroup(groupB)with31ineach.Heartrate(HR),meanarterialbloodpressure(MABP),plasmanorepinephrine(NE),serumcortisol(Cor),andserumC—reactiveprotein(CPR)concentrationweremeasuredinthebeginningo
6、fanesthesia(T1),30minafterbeginning(T2),abdominalsuture(T),and24hafteroperation(T4).Operationtimeandamountofbleedingwererecorded.ResultsTherewere1osignificantdifferencesofoperationtimeandbleedingbetweenthetwogroups(尸>0.05).ComparedtogroupA,MABPvaluesweresignificantlylowerinp
7、atientsofgroupBinT1,T2,andT3timepoints(P<0.05),butMABPvaluesweresimilarinTd(P>0.05).TheHRvalueswerenormalinbothgroups.InTl,theNElevelsofBgroupweresignificantlyhigher(P<0.01),buttherewerenosignificantdifferencesofCorandCRPvalues.InT2,T3,andT4timepoints,theNE,Cor,andCRPvaluesw
8、eresignificantlyloweringroupBthanthoseofgroupA(P<0.05,P<0.o1).ConclusionGen
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