Abstract
Objective To observe the effects of three different anaesthesia methods on cardiac hemodynamics and cardiac electrical activity in elderly patients with coronary heart disease (CHD) undergoing elective abdominal surgery. Methods A total of 103 elderly patients undergoing elective abdominal surgery in Fenyang Hospital of Shanxi Medical University from March 2017 to April 2019 were selected and divided into epidural anesthesia(EA)group (n=30), general anesthesia(GA) group (n=35) and combined spinal-epidural anesthesia(CSEA)group(n=38)according to the anesthesia regimen. The electrocardiogram (ECG) including ST segment changes and arrhythmia, and hemodynamic indicators, such as mean arterial pressure (MAP), oxygen saturation (SaO2), were compared among each group before anesthesia(T0), 5 min after anesthesia(T1), 15 min after anesthesia(T2), 30 min after anesthesia(T3), 60 min after anesthesia(T4) and after operation(T5). Results At T2, T3 and T4 time points, the level of MAP in CSEA group was significantly higher than that in EA group (P<0.05). At T2 and T3 time points, the levels of SaO2 in CSEA and GA group were significantly higher than those in EA group(P<0.05). The incidences of ST segment changes and arrhythmia in CSEA group and GA group were lower than those in EA group (P<0.05). Conclusions General anesthesia and combined spinal-epidural anesthesia has less effects on ECG and hemodynamic parameters in elderly patients undergoing elective abdominal surgery. Key words: Coronary heart disease; Anesthesia; Abdominal surgery
Published Version
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call