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不同麻醉方式下行腹主动脉瘤腔内治疗的围手术期效果

Effect of Different Anesthesia Downlink Abdominal Aortic Aneurysm Treatment of Perioperative Period

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【作者】 仇大海张珂

【Author】 QIU Dahai;ZHANG Ke;Department of Anesthesiology,Jinan Central Hospital;

【机构】 山东省济南市中心医院麻醉科

【摘要】 目的探究不同麻醉方式下行腹主动脉瘤腔内治的围手术期效果。方法以我院收治的270例AAA患者为研究对象,103例给予局部麻醉,采用硬膜外麻醉患者(EDA)54例,113例患者给予全身麻醉,观察三组患者治疗效果。结果 LA组、EDA组术后死亡率并无统计学意义(P>0.05)。GA组术后并发症发生率均高于EDA组及LA组,GA组肺部并发症比LA组高(P<0.05)。结论 EVAR术采用局部麻醉有利于患者快速恢复,局部麻醉成为EVAR最佳的麻醉方式。

【Abstract】 Objective To explore the different ways of anesthesia downward abdominal aortic aneurysm cavity effect of perioperative cure. Methods In our hospital 270 cases of patients with AAA as the research object, 103 cases of local anesthesia, using epidural anesthesia(EDA) of 54 patients, 113 patients were given general anesthesia, to observe the effect of three groups of patients. Results LA group, the EDA group postoperative mortality, there is no statistical significance(P>0.05).Postoperative complication rates were higher than in EDA group and GA group LA group and GA group of pulmonary complications is higher than LA group(P<0.05). Conclusion EVAR technique using local anesthesia for patients with fast recovery, become the local anesthetic EVAR best way of anesthesia.

  • 【文献出处】 中国继续医学教育 ,China Continuing Medical Education , 编辑部邮箱 ,2015年21期
  • 【分类号】R614
  • 【下载频次】37
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