ModDiagnTreat现代诊断与治疗2023Jul34渊14冤胆囊疾病在发病前期无特异性症状袁因而常被忽视遥随着时间的推移和病情发展袁胆囊结石逐渐扩大袁压迫胆囊黏膜袁造成胆囊壁增厚袁诱发胆囊疾病咱1暂遥现阶段临床中胆囊疾病的患者呈现老龄化趋势袁老年人群基础代谢功能差袁机体各器官生理功能衰退袁代偿性功能减弱袁患者本身又有其它各种疾病袁因而易引发胆囊穿孔袁严重者胆道休克甚至败血症袁十分凶险遥临床中一般对患者实施腹腔镜胆囊切除手术渊Laparoscopiccholecystectomy袁LC冤治疗遥腹腔镜能很好的观察和切除患者的病灶袁手术创伤较小尧术后疼痛轻微袁对机体耐受性要求较低袁能获得较好的临床治疗效果咱2-3暂遥但老年高血压患者在术中应激反应较剧烈袁严重影响其呼吸功能和血液循环袁现阶段临床中对于高血压的老年患者选择哪种麻醉方式存在一定的争议袁基于老年人生理病理特点选择恢复迅速尧血流动力学稳定的麻醉方法袁确保麻醉安全老年高血压患者在LC术中应用全麻复合连续硬膜外麻醉的效果分析聂文娟渊贵溪市人民医院麻醉科袁江西贵溪335424冤AnalysisoftheEffectofGeneralAnesthesiaCombinedwithContin鄄uousEpiduralAnesthesiainElderlyPatientswithHypertensionDuringLCSurgeryNIEWenjuan(DepartmentofAnesthesia,GuixiPeople爷sHospital,YingtanJiangxi335424,China冤Abstract:ObjectivesToanalyzetheeffectivenessandinfluenceofgeneralanesthesiacombinedwithcontinuousepiduralanesthesiainelderlypatientswithhypertensionundergoinglaparoscopiccholecystectomy(LC)surgery.MethodsAtotalof60elderlypatientswithhypertensionwhounderwentLCinourhospitalfromJanuary2018toDecember2021wereselectedanddividedintocontrolgroupandobservationgroup,with30casesineachgroup.Thecontrolgroupreceivedgeneralanesthesia,whiletheobservationgroupwastreatedwithgeneralanesthesiacom鄄binedwithcontinuousepiduralanesthesia.Theanestheticeffectsbetweenthetwogroupsofelderlypatientswithhypertensionwascompared.ResultsThelevelsofHR,SBPandDBPatT2andT3intheobservationgroupweresignificantlylowerthanthoseinthecontrolgroup,andtherecoverytimeofgeneralanesthesia,spontaneousbreath鄄ingrecoverytimeandextubationtimeweresignificantlyshorterthanthoseinthecontrolgroup(P约0.05).Thepost鄄operativeneurologicaldeficitscore,w...
