[摘要] 目的 探索全身麻醉复合硬膜外麻醉对胸腹部手术患者血流动力学的影响性。 方法 方便选取2016年6月—2017年6月期间该院收治的胸腹部手术患者100例，抽签化分组，即每组50例，对照组和观察组分别采用全身麻醉和全身麻醉复合硬膜外麻醉，随后对比两组患者的拔管时间、睫毛反射消失时间、苏醒时间、疼痛评分、血流动力学。 结果 观察组患者拔管时间、睫毛反射消失时间、苏醒时间、疼痛评分优于对照组(t=9.777 1、35.309 1、9.720 8、11.538 4；P<0.05)，同时观察组切皮前、切皮后1 h的MAP、HR均优于对照组(t=12.083 1、15.406 9、14.690 5、8.884 6；P<0.05)。 结论 对胸腹部手术患者实施全身麻醉复合硬膜外麻醉效果显著，能够维持患者血流动力学。

    [关键词] 全身麻醉；硬膜外麻醉；胸腹部手术

    [中图分类号] R4 [文献标识码] A [文章编号] 1674-0742(2018)05(c)-0027-03

    [Abstract] Objective This paper tries to investigate the influence of general anesthesia combined with epidural anesthesia on hemodynamics in patients undergoing thoracoabdominal surgery. Methods A total of 100 patients in this hospital from June 2016 to June 2017 were convenient selected and divided into groups of 50 patients in each. The control group and the observation group were treated with general anesthesia and general anesthesia combined with epidural anesthesia ......