首页|不同麻醉方式用于手术治疗的糖尿病患者中的效果及对血流动力学的影响分析

不同麻醉方式用于手术治疗的糖尿病患者中的效果及对血流动力学的影响分析

Effects of Different Anesthesia Methods and Their Effects on Hemodynam-ics in Diabetic Patients Undergoing Surgical Treatment

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目的 探讨不同麻醉方式用于手术治疗的糖尿病患者中的效果及对血流动力学的影响.方法 选取2023年7-11月厦门市第五医院收治的68例糖尿病患者为研究对象,均接受手术治疗,按照麻醉方式不同对其进行分组.参照组34例应用全身麻醉方案,研究组34例在此基础上联合硬外阻滞麻醉.比较两组不同时间节点的血糖、血压、心率水平.结果 研究组T3(手术开始30 min)、T4(手术完成即刻)阶段收缩压、舒张压均比参照组低,差异有统计学意义(P均<0.05).研究组T3、T4时间点心率(82.34±2.83)、(84.12±1.34)次/min较参照组低,差异有统计学意义(t=7.988、15.825,P均<0.05).研究组T3、T4时间段血糖数值较参照组小,差异有统计学意义(P均<0.05).结论 不同麻醉方式应用于需要接受手术治疗的糖尿病患者中的效果存在差异.相较于全身麻醉而言,全身麻醉联合硬外阻滞麻醉对患者血流动力学的影响更小,并且能够稳定其术中血糖值,对确保手术顺利进行,维护手术安全性作用显著.
Objective To investigate the effect of different anesthesia methods in the surgical treatment of diabetic pa-tients and its influence on hemodynamics.Methods A total of sixty-eight patients with diabetes were treated in Xia-men Fifth Hospital From July to November 2023 were selected as the research objects,all of whom received surgical treatment and were grouped according to different anesthesia methods.General anesthesia was applied to thirty-four cases in the reference group,while thirty-four cases in the study group were combined with epidural block anesthesia.The blood glucose,blood pressure and heart rate of each group at different time nodes were compared.Results The systolic and diastolic blood pressure of T3(surgery started 30 minutes)and T4(immediately after the surgery was com-pleted)in the study group were lower than those in the reference group,and the differences were statistically signifi-cant(all P<0.05).The heart rate of T3 and T4(82.34±2.83)times/min,(84.12±1.34)times/min in the study group was lower than those in the reference group,and the differences were statistically significant(t=7.988,15.825,both P<0.05).The blood glucose values in T3 and T4 periods in the study group were significantly lower than those in the ref-erence group,and the differences were statistically significant(both P<0.05).Conclusion There are differences in the effectiveness of different types of anesthesia in patients with diabetes who require surgical treatment.Compared with general anesthesia,general anesthesia combined with epidural block anesthesia has less impact on the hemodynamics of patients,and can stabilize the intraoperative blood glucose value,which has a significant role in ensuring the smooth operation and maintaining the safety of surgery.

Diabetes mellitusMethod of anesthesiaEpidural block anesthesiaGeneral anesthesiaHemodynamicsBlood glucose

李雪妮、魏春景

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厦门市第五医院,福建厦门 361101

糖尿病 麻醉方式 硬外阻滞麻醉 全身麻醉 血流动力学 血糖

2024

糖尿病新世界
中国病理生理学会

糖尿病新世界

影响因子:0.461
ISSN:1672-4062
年,卷(期):2024.27(3)
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