硬膜外复合全麻对老年高血压患者腹部手术后并发症的影响

目的：探讨硬膜外复合全麻对老年高血压患者腹部手术后并发生的影响。方法：收集2013 年6 月-2015 年6 月在两家医院 接受腹部手术的老年高血压患者100 例，根据麻醉方法不同分为研究组和对照组。研究组患者给予硬膜外复合麻醉，对照组给予 全凭静脉麻醉。观察并比较两组患者的麻醉时间、药物用量以及术后并发症的发生率。结果：两组麻醉时间比较，差异无统计学意 义（P>0.05）；研究组麻醉药物用量低于对照组，差异具有统计学意义（P<0.05）；两组患者手术时间比较，差异无统计学意义（P>0. 05）；研究组患者术后苏醒时间、拔管时间以及住院时间均短于对照组，差异具有统计学意义（P<0.05）；研究组术后并发症的发生 率低于对照组，差异具有统计学意义（P<0.05）。结论：硬膜外复合全麻用于老年高血压患者腹部手术能够减少麻醉药物用量，降低 术后并发症的发生率，安全性较高。

Effects of Compound Epidural Anesthesia on the Complications of Abdominal Surgery for Elderly Patients with Hypertension

Objective:To explore the influence of compound epidural anesthesia on the complications of abdominal surgery for the elderly patients with hypertension.Methods:100 elderly patients with hypertension who had underwent the abdominal surgery in our hospital from June 2013 to June 2015 were selected and according to the different anesthetic methods, the patients were divided into the study group and the control group. The patients in the study group were treated with the compound epidural anesthesia, while the patients in the control group were treated with the intravenous anesthesia. Then the anesthesia time, drug dosage, and the incidence of postoperative complications in the two groups were observed and compared.Results:There was no statistically significant difference about the anesthesia time between the two groups (P>0.05); The anesthetic dosage in the study group was lower than that of the control group (P<0.05); There was no statistically significant difference about the operation time between the two groups (P>0.05); The time of awakeness and extubation and hospitalization in the study group were shorter than those of the control group, and the differences were statistically significant (P<0.05); The incidence of postoperative complications in the study group was lower than that of the control group, and the difference was statistically significant (P<0.05).Conclusion:The compound epidural anesthesia has less influence on postoperative complications of abdominal surgery for elderly patients with hypertension.