引用本文: |
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朱颖霞,罗明,张晓庆.GEA对老年冠心病患者非心脏手术围术期心血管保护[J].同济大学学报(医学版),2006,(2):51-54. [点击复制]
- .The Effect of GEA on Protection of Cardiac Vessels during Perioperative Period in Patients with CHD to Perform Upper Abdominal Operation[J].同济大学学报(医学版),2006,(2):51-54. [点击复制]
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摘要: |
目的探讨高胸段硬膜外阻滞复合全身麻醉在老年冠心病患者上腹部手术时对心血管保护方面的临床应用价值。方法将60例心功能I~II级,择期行上腹部手术的老年冠心病患者随机分成两组,单纯全麻组(GA组)和硬膜外复合全麻组(GEA组),监测患者围术期血流动力学变化,并运用放射免疫平衡法检测围术期血清IL-6、TNF-α及皮质醇水平。结果围术期血清IL-6、TNF-α及皮质醇水平均有升高,GA组升高更明显,各时段与GEA组比较,差异显著(P<0.05)。结论全麻联合高位硬膜外阻滞在保持围术期血液动力学的相对稳定,减少手术应激反应的同时对细胞因子起到了一定的调控作用,减少围术期心血管并发症优于单纯全麻。 |
关键词: 老年冠心病患者,围术期,应激,细胞因子 |
DOI: |
修订日期:2005-11-03 |
基金项目: |
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The Effect of GEA on Protection of Cardiac Vessels during Perioperative Period in Patients with CHD to Perform Upper Abdominal Operation |
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Abstract: |
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Key words: coronary heart disease,peri-operative,stress response,cytokine |