安氟醚全麻复合硬膜外阻滞在开胸手术中的应用

目的比较两种方法麻醉在开胸手术中的应用价值。方法ＡＳＡＩ－Ⅱ级择期开胸手术病人３０例，随机分为复合组１５例，用安氟醚吸入全麻加硬膜外阻滞；对照组１５例，全凭安氟醚吸入全麻。对两组在术中循环应激、苏醒和拔管时间及术后情况进行对比观察。结果复合组循环应激反应显著轻于对照组（Ｐ＜０．０１）；术毕苏醒和拔管时间均显著短于对照组（Ｐ＜０．０１）；拔管后病人无躁动不安，术后镇痛方便、可靠，咳嗽排痰好。结论安氟醚全麻复合硬膜外阻滞是应用于开胸手术中的一种安全、合理的麻醉方法。

Application of enflurance general anesthesia combined with epidural block in thoracic operation

Objective To compare with two different anesthetic methods for thoracic operations.Methods 30 patients, ASA I-II,undergoing elective thoracic operations divided into two groups sequentially ( n =15,in each group),group A was under general anesthesia of enflurance combined with epidural block and group B only under general anesthesia of enflurance.Circulatory stress, the time from the end of operation to awake and extubation were observed in both groups.Result Circulatory stress was inhibited completely in group A.The time from the end of operation to awake and extubation in group A was shortened significantly( P <0.01).Patients had no movement responce of extubation in group A.Epidural analgesia was simple and reliable,and patients could breathe and cough considerably.Conclusion The combined anesthesia was a safe and reasonable anesthetic method for thoracic operation.