Effect of thoracic epidural analgesia and sympathetic nerve block on postoperative hypertension in patients with patent ductus arteriosus

摘要

Objective To investigate the effects of thoracic epidural analgesia on postoperat ive hypertension in patients with PD A.Methods48cases of PDA were randomly divided into NTEA group(n =22)and TEAgroup(n =26).General anesthesia was used for NTE Agroup,and intramuscular injection of peth idine 1mg /kg was used when postopera tive pain occurs;general anesthesia combined with thoracic epidural anesthesia were used for TEAgroup,a nd thoracic epidural analgesia was u sed for postoperative analgesia.BP,HR,RR,SpO 2 ,EKG were monitored during and after operatio n,angiotenic was used when the BP ele vated more than 20%compared with before operation.Results Analgesia effect on TEA group was better than that of NTEA group(P <0.05),also postoperative BP was signific antly higher than that of before operation in NTEA group(P <0.01),and 18cases need nitroglycerin or s odium nitroprusside therapy;there was no significantly in-crease of BP in TEA group,only 2cases need nitroglycerin therapy.Conclusion TEA had an excellent effect of postop erative pain-relief and blocked sympathetic nerve in patien ts with PDA,so it could reduce postoperative hypertension effectively.