urmjУральский медицинский журналUral Medical Journal2949-4389Ural State Medical University10.52420/umj.23.3.71USRQCTurmj-1536Research ArticleОригинальные статьи | Original articlesOriginal articlesСравнение влияния общей и спинальной анестезии на гемодинамическую стабильность у пациентов, перенесших герниопластикуComparison of General Anesthesia and Spinal Anesthesia on Hemodynamic Stability in Patients Undergoing Hernia Repairhttps://orcid.org/0009-0000-2271-3675КадимА. А. А.KadhimA. A. A.

Аднан Абдул Адим Кадим — специалист по общей хирургии, академический профессор кафедры анестезиологии и реаниматологии

Кербела

Adnan Abdul Adheem Kadhim — General Surgery Specialty, Academic Professor of the Department of Anesthesia and Intensive Care Technologies

Karbala

Adnan.Al-HusseiniQ111@gmail.comhttps://orcid.org/0009-0008-5416-1498Аль-ХиканиХ. А. Д. С.Al-KhikaniH. A. J. S.

Хайдер Ахмед Джалаб Салем Аль-Хикани — бакалавр анестезиологии и реаниматологии

Кербела

Haider Ahmed Jalab Salem Al-Khikani     — Bachelor of Anesthesia and Intensive Care Technology

Karbala

hider.ahmed.j@gmail.comhttps://orcid.org/0009-0007-6948-4305ХамзаК. М.HamzaQ. M.

Касим Мухаммед Хамза — бакалавр анестезиологии и реаниматологии

Кербела

Qasim Muhammad Hamza — Bachelor of Anesthesia and Intensive Care Technology

Karbala

alabrahymyq9@gmail.comhttps://orcid.org/0009-0000-5622-5338ХабибЯ. К.HabibY. K.

Ясс Кудейр Хабиб — бакалавр анестезиологии и реаниматологи

Кербела

Yass Khudair Habib — Bachelor of Anesthesia and Intensive Care Technology

Karbala

yaskhdyr862@gmail.comhttps://orcid.org/0009-0006-1286-8431ХуссейнМ. М.HusseinM. M.

Мухаммед Мосен Хуссейн — бакалавр анестезиологии и реаниматологии

Кербела

Muhammad Mohsen Hussein — Bachelor of Anesthesia and Intensive Care Technology

Karbala

hfg8037@gmail.comhttps://orcid.org/0009-0001-5768-3805МухаммедХ. Т.MuhammadH. T.

Хасан Таки Мухаммед — бакалавр анестезиологии и реаниматологии

Кербела

Hassan Taqi Muhammad — Bachelor of Anesthesia and Intensive Care Technology

Karbala

hasangghh54321@gmail.comУниверситетский колледж Аль-ТаффИракAl-Taff University CollegeIraq2024120720242337178Copyright © Кадим А.А., Аль-Хикани Х.Д., Хамза К.М., Хабиб Я.К., Хуссейн М.М., Мухаммед Х.Т., 20242024Кадим А.А., Аль-Хикани Х.Д., Хамза К.М., Хабиб Я.К., Хуссейн М.М., Мухаммед Х.Т.Kadhim A.A., Al-Khikani H.J., Hamza Q.M., Habib Y.K., Hussein M.M., Muhammad H.T.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.umjusmu.ru/jour/article/view/1536Введение

Введение. Выбор наименее опасной для жизни пациента анестезиологической тактики, включая методику, препараты, планы и инструкции, по-прежнему остается главным аспектом в работе анестезиологов-реаниматологов. Вопрос использования общей или спинальной анестезии является важным при лечении грыжи.

Цель исследования — сравнить влияние общей и спинальной анестезии (ОА и СА) на гемодинамическую стабильность у пациентов, перенесших герниоплстику.

Материалы и методы

Материалы и методы. В наблюдательное исследование (до, во время и после операции) включено 100 пациентов 20–90 лет, посещавших медицинский городок Аль-Хусейн и больницу Аль-Хасан в Кербеле (Ирак) и перенесших герниопластику. Пациенты разделены на две группы: 50 — ОА; 50 — СА. Анализировались следующие данные: возраст, вес, изменения артериального давления и частоты пульса.

Результаты

Результаты. Выявлено, что при СА гемодинамическая стабильность составляет около 56 %, при ОА — около 40 %; повышенное и пониженное артериального давление чаще встречается при ОА (32 % и 28 %), чем при СА (24 % и 20 %). Более стабильная частота сердечных сокращений наблюдается при СА (56 %), нежели при ОА (32 %): увеличение этого показателя при ОА и СА наблюдалось в 60 % и 34 % случаев соответственно; снижение — при СА и ОА встречалось в 10 % и около 8 % случаев. При этом определено, что эффект при СА более стабилен.

Выводы

Выводы. СА превосходила ОА по стабильности артериального давления и частоты сердечных сокращений, а также минимальному или нормальному уровню.

Introduction

Introduction. The issue of choosing the optimal anesthesia that is least dangerous to the patient’s life is still the main concern of the workers in the anesthesia and intensive care department, including techniques, medications, plans, and instructions followed in order to choose the best anesthesia. It can also be said that spinal anesthesia is the best and most standard anesthesia for those who repair hernia.

The aim of the study — learn about obtaining and verifying hemodynamic stability in patients undergoing hernia repair under anesthesia.

Materials and methods

Materials and methods. An accurate and recent study of patients attending Al-Hussein Medical City and Al-Hassan Hospital in the city of Karbala. We included 100 patients who underwent a herniotomy, were divided into two groups on the types of general and spinal anesthesia. Fifty patients received general anesthesia and 50 patients received spinal anesthesia. Data related to the patient’s age, weight, change in blood pressure and pulse rate were analyzed. The study analyzed patients aged 20–90, dividing them into two groups: general anesthesia (GA) and spinal anesthesia (SA), for careful follow-up before, during, and after operations.

Results

Results. We show that it is also more stable in SA which is about 56 % in comparison to GA which is about 40 % but increased blood pressure is more in GA which was 32 % and 24 % in SA, but decreased blood pressure is also more in GA which was 28 % and in SA was 20 %. In this study, as shown, there is more stability in heart rate, which is 56 % in SA but in GA it is 32 % and the increase in heart rate was 34 % in SA but was 60 % in GA. The decreased heart rate was 10 % in SA and about 8 % in GA and the effect of SA is more stable.

Conclusions

Conclusions. We found spinal anesthesia was more than general anesthesia in stability of blood pressure and heart rate and minimum or normal.

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The authors declare that there are no conflicts of interest present.