食管癌根治术中硬膜外注入不同浓度利多卡因对血液动力学的影响

    Influence of different concentrations of lidocaine on the hemodynamics of patients radical resection of esophageal cancer

    • 摘要: 目的:观察在相同气静麻醉深度下,食管癌根治术中硬膜外注入不同浓度利多卡因对患者血液动力学的影响。方法:54例食管癌根治手术的患者(ASAⅠ~Ⅱ级),随机分为生理盐水对照组(A组)、1%利多卡因组(B组)、2%利多卡因组(C组),每组18例。全麻诱导后,硬膜外以7 ml/h维持。记录术前基础值、麻醉平面出现后、术中血压(BP)、心率(HR)。结果:手术开始后,A组BP升高,HR加快(P<0.01);C组BP过度降低,HR减慢(P<0.01);B组BP、HR保持相对较稳定状态(P>0.05)。结论:全麻复合低浓度局麻药是较适用且较安全有效的麻醉方法。

       

      Abstract: Objective: To evaluate the effects of different concentrations of lidocaine on the hemodynamics of patients radical resection of esophageal cancer.Methods: Fifty-four ASAⅠ-Ⅱpatients were randomly divided into epidural normal saline(NS) group,epidural 1% lidocaine(Lido) group and epidural 2% Lido group,with 18 cases in each group.Anesthesia was induced and maintained with epidural infusion of Lido or NS at 7 ml/h.The baseline value,blood pressure(BP),heart rate(HR) of the patients were recorded before and during the operation.Results: During the operation,NS group showed a higher BT and HR(P<0.01),2% Lido group an over-decrease in BP and lower HR(P>0.05),and 1% Lido group a comparatively stable BP and HR.Conclusions: General anesthesia combined with local anesthesia is effective and safe in radical resection of esophaged cancer.

       

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