先天性心脏病术中运用快通道心脏麻醉的效果观察.pdf

《先天性心脏病术中运用快通道心脏麻醉的效果观察.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、第3O卷第3期(第56页)湖北民族学院学报·医学版V01_30No．3P．562013正JournalofHubeiUniversityforNationalities·MedicalEdition2013先天性心脏病术中运用快通道心脏麻醉的效果观察邱友庆东莞康华医院麻醉科(广东东莞523080)【摘要】目的探讨先天性心脏病术中运用快通道心脏麻醉的效果观察。方法100例先天性心脏手术患者随机分成治疗组和对照组，每组各50例。治疗组选用快通道方法进行麻醉，对照组采用常规方法进行麻醉，比较两组患者的临床效果。结果治疗组中显效32例(64％)，有效l2例(12％)，无效5例(5％)

2、，死亡1例(2％)。治疗组的总有效率为88％；对照组中显效20例(40％)，有效15例(30％)，无效12例(24％)，死亡3例(6％)，对照组的总有效率为70％。术后拔管时间和在ICU时间快通道组均较对照组时间短(P<0．05)。结论快通道心脏麻醉用于先天性心脏病手术具有较好的麻醉效果，值得临床推广。【关键词】快通道；心脏麻醉；先天性心脏手术【中图分类号】R614【文献标识码】A【文章编号】1008-8164(2013)03-0056-03TheEfiectObservationofFastTrackCardiacAnesthesiainCongenitalHeartDis

3、easeSurgeryQIUYou—qing(DepartmentofAnesthesiology，KanghuaHospital0厂DongguanCity，Dongguan523080，China)【Abstract】ObjectiveToinvestigatethefast-trackcardiacanesthesiaforcongenitalheartdis—easesurgery．MethodsMarch2010toMarch2013inourhospital100casesofcardiacsurgicalpatientsforthestudy，according

4、totherandomwaypatientsweredividedintotreatmentgroupandcontrolgroup．Fast—trackmethodoftreatmentgroupwereanesthetizedselectedcontrolgroupusingconventionalmethodsofanesthesia，comparedtotheexperimentalgroupandacontrolgroupofpatientswithclinicaleffects．ResultsAftertreatment，aftertreatment，thetre

5、at—mentgroup，32cases，theproportionwas64％，effectivein12cases，theproportionwas12％，5cases，theproportionof5％，and1died，thesharetheproportionof2％．Treatmentgroup，thetotaleffectiverate88％；inthecontrolgroup20cases，theproportionwas40％，effectivein15cases，theproportionwas30％，12cases，theproportionwas24％

6、，3patientsdied，thepropor-tionof6％inthecontrolgroup．thetotaleffectiveratewas70％．Postoperativeextubationtime，fastchannelgroupthanthecontrolgroupashorttime，asignificantdifference(P<0．05)，timeintheICU，fastchannelgroupisalsoshorterthanthecontrolgroup，asignificantdifference(P<0．05)．ConclusionFast

7、trackcardiacanesthesiaforcardiacsurgeryhasbetteran—estheticeffect，clinicalvalueandusevaluearehigher．【Keywords】Fasttrack；Cardiacanesthesia；congenitalheartdiseasesurgery随着新的麻醉药物出现、灌注技术的发展、常温者术后早期拔管(术后6h内)，缩短重症监护治疗体外循环的应用，相关研究不断深入，快通道心脏麻时间，最终降低医疗费用。本实验选取100