Page 23 - 麻醉与监护论坛2016年第4期

赵伟新 宋慧钢 李保林 摘要
吕东东 王其敏
目的：探讨硬膜外阻滞麻醉复合气管全麻与气管内静脉吸入麻醉的应用对
郑州大学附属郑州中心医院麻醉科 急腹症合并感染性休克患者的临床效果的影响。方法：选取2014年4月-2015年6
河南郑州 450000 月临床确诊为急腹症合并感染性休克患者65例，将其进行随机分组，对照组35
例，采用气管内插管吸入麻醉，观察组30例，采用硬膜外阻滞麻醉复合气管全
麻。对整个麻醉过程中两组患者的生命体征进行比较和分析。结果：对照组患
者术中的收缩压（S B P）与舒张压（D B P）显著低于诱导期（P<0.05）；术中观
察组患者的S B P与D B P却显著高于对照组，对比差异有统计学意义（P<0.05）；
观察组患者的自主恢复呼吸时间、睁眼时间以及拔管时间较对照组均显著缩短
（P<0.05）；两组患者的疼痛V A S评分比较差异无统计学意义，而观察患者的
不良反应率显著低于对照组，差异有统计学意义（P<0.05）。结论：对急腹症
合并感染性休克患者，采用硬膜外阻滞麻醉复合气管全麻的临床效果优于气管
内静脉吸入麻醉，患者的生命体征更加平稳，麻醉后恢复较快且不良反应率较
低，安全性较高。

关键词：麻醉方式；急腹症；感染性休克；临床效果

不同麻醉方式对急腹症感染性休克患者影响
研究

Effects of different clinical anesthesia on patients with acute
abdomen combined with septic shock

ZHAO Wei-xin,SONG Hui-gang,LI Bao-lin,LYU Dong-dong,WANG Qi-min

Zhengzhou Central Hospital of Zhengzhou University,Zhengzhou 450000,Henan,China

Abstract

Objective. To investigate the effects of different clinical anesthesia with acute abdomen combined with septic shock,and
to contrast the application value of epidural block anesthesia combined with general anesthesia and endotracheal intubation
anesthesia.

Methods. Form Apr.2014 to Jun.2015,65 cases of patients diagnosed in our hospital with acute abdomen combined with
septic shock were selected,and they were randomly divided into two groups,of which 35 cases were as the control group with
endotracheal intubation inhalation anesthesia and the other 30 cases as observation group with epidural anesthesia combined
with general anesthesia trachea.Comparison and analysis of the vital signs for the patients in the two groups were carried out
during the whole anesthesia process.

Results. While SBP and DBP of patients in control group during operation was significantly lower than that in the induction
period(P<0.05).During operation,SBP and DBP of patients in observation group were significantly higher than that in control
group(P<0.05);the time of self-recovery breathing,eye opening and extubation in observation group were all shorter than that
in control group(P<0.05).VAS pain scores between the two groups was not significant,adverse reaction rate in observation group
was significantly lower than that in control group(P<0.05).

Conclusion. For patients with acute abdomen combined with septic shock,the clinical effect of epidural anesthesia combined
with general anesthesia trachea is better than that of endotracheal intubation inhalation anesthesia for the patient’s vital signs are
more stable with faster recovery,low adverse reaction rate and high security.

Key Words: Anesthesia;Septic shock;Acute abdomen;Clinical effect

急性腹膜炎属于常见的外科疾病中的一种，特点为发病 果及预后产生影响，因此，准确判断患者病情，并选用合适
较急同时病情较重，出现突发剧烈腹痛[1]。急性腹膜炎须及 的麻醉方式是手术成功的重要环节[2]。本研究探讨不同的麻
时手术治疗，而术前的麻醉方式极为重要，对手术的临床效 醉方式对急腹症合并感染性休克患者临床效果的影响，现报

Laboratory and Clinical Investigation 60 FAM 2016 Jan/Feb Vol.23 Issue 1
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