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硬膜外复合全麻对腹部手术患者血液循环及免疫功能的影响

马海燕

实用临床医药杂志2013,Vol.17Issue(16):24-26,3.
实用临床医药杂志2013,Vol.17Issue(16):24-26,3.DOI:10.7619/jcmp.201316009

硬膜外复合全麻对腹部手术患者血液循环及免疫功能的影响

Impact of epidural anaesthesia combined with general anesthesia on hemodynamics and immune function in patients with abdominal surgery

马海燕1

作者信息

  • 1. 湖北省黄石市妇幼保健院麻醉科,湖北黄石,435000
  • 折叠

摘要

Abstract

Objective To investigate the impact of epidural anaesthesia combined with general anesthesia on hemodynamics and immune function in patients with abdominal surgery.Methods Ninety patients with abdominal surgery were randomly divided into two groups,treatment group (n =45) and control group (n =45).The control group was given general anesthesia only,and the treatment group was given epidural anaesthesia combined with general anesthesia.The changes of hemodynamic and the immune function in both groups were observed and compared.Results The fluctuation range of SBP,DBP,HR,SpO2 in the end of operation,12 hours after operation,ld and 2ds after operation in the treatment group were significantly less than the control group (P < 0.05).The decline of CD3+,CD4+,CD4+/CD8+ 6 hours after operation,1d,3 ds,5 ds and 7 ds after operation in the treatment group were significantly less than the control group (P < 0.05).Conclusion The impact of epidural anaesthesia combined with general anesthesia on hemodynamics and immune function is significantly smaller in patients with abdominal surgery,and the epidural anaesthesia combined with general anesthesia has good prospects in abdominal surgery.

关键词

腹部手术/硬膜外全麻/全身麻醉/血流动力学/免疫功能

Key words

abdominal surgery/ epidural anaesthesia/ general anesthesia/ hemodynamic/immune function

分类

医药卫生

引用本文复制引用

马海燕..硬膜外复合全麻对腹部手术患者血液循环及免疫功能的影响[J].实用临床医药杂志,2013,17(16):24-26,3.

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