摘要
Abstract
Objective To investigate the postoperative patient-controlled epidural analgesia in patients with coronary heart disease on the clinical effects of abdomihal surgery.Methods This study selected 60 patients with upper abdominal surgery by clinical diagnosis with coronary heart disease.Patients were randomly divided into two groups:epidural analgesia group (I group)and intravenous analgesia group(Ⅱ group),with 30 cases for each group.All patients were treated with endotracheal anesthesia,group of postoperative epidural analgesia,Ⅱ group of postoperative analgesia,the two groups were recorded the mean arterial pressure(MAP),heart rate(HR),pulse oxygen saturation(SpO2),serum troponin-I(cTn-I)before and after anesthesia and postoperative 4 h,12 h,24 h and 48 h,postoperative analgesic effect was conducted using the visual analogue scale(VAS)assessment of analgesia.Results As compared with the pre-operation level,no significant difference was observed in the MAP,HR,SpO2,cTn-I after surgery in group Ⅰ(P＞0.05);Ⅱ group of post-operative MAP,HR,cTn-I were significantly higher(P＜0.05),SpO2 Was significantly lower(P＜0.05).Compared with group Ⅱ,Ⅰgroup ofpost-operative MAP,HR,cTn-I,VAS score were lower(P＜0.05),SpO2 was higher(P＜0.05).Conclusion The postoperative patient-controlled epidural analgesia in patients with coronary heart disease with abdominal surgery,can effectively eliminate the postoperative pain,reduce stress,maintain hemodynamic and cTn-I in blood stability,and has a protective effect on myocardial injury.关键词
硬膜外镇痛/静脉镇痛/冠心病Key words
Epidural analgesia/Intravenous analgesia/Coronary heart disease
