Aromaa U
Acta Anaesthesiol Scand. 1977;21(5):368-73. doi: 10.1111/j.1399-6576.1977.tb01233.x.
The study was undertaken in order to elucidate the suitability of four different types of general anaesthesia and of epidural block in short-stay varicose vein surgery. Special consideration was given to recovery after anaesthesia. The series consisted of 230 female patients subjected to varicose vein surgery of one lower extremity. The patients' recovery after surgery was observed through tests measuring visual-motor coordination and through questionnaires. The general anaesthesias used were halothane-nitrous oxide-oxygen anaesthesia with spontaneous respiration (Ha), relaxant-dominated combined anaesthesia (Re), analgesic-dominated combined anaesthesia (An), and analgesic-dominated combined anaesthesia with hyperventilation (Hy). Of the general anaesthesias, halothane nitrous-oxide inhalation anaesthesia gave the fastest recovery, although there were no major differences between it and analgesic-dominated combined anaesthesia. In contrast, immediate recovery was prolonged after hyperventilation and after relaxant-dominated anaesthesia. Epidural blockade provided a good alternative to general anaesthesia.
开展这项研究是为了阐明四种不同类型的全身麻醉和硬膜外阻滞在短期静脉曲张手术中的适用性。特别考虑了麻醉后的恢复情况。该系列研究包括230例接受单侧下肢静脉曲张手术的女性患者。通过测量视觉运动协调性的测试和问卷调查来观察患者术后的恢复情况。所使用的全身麻醉方法有：氟烷-氧化亚氮-氧气自主呼吸麻醉（Ha）、以肌松药为主的复合麻醉（Re）、以镇痛药为主的复合麻醉（An）以及过度通气的以镇痛药为主的复合麻醉（Hy）。在全身麻醉中，氟烷吸入麻醉恢复最快，尽管它与以镇痛药为主的复合麻醉之间没有显著差异。相比之下，过度通气后和以肌松药为主的麻醉后即时恢复时间延长。硬膜外阻滞是全身麻醉的一个良好替代方法。
