连续硬膜外麻醉下行腹腔镜手术中呼吸系统的临床观察

Clinical observation of the respiratory system in laparoscopic operation with continual epidural anesthesia

目的:观察连续硬膜外麻醉下行腹腔镜手术中,气腹前和气腹后20min患者呼吸频率及血气变化。方法:选择40例妇科和普外科腹腔镜手术患者,行连续硬膜外麻醉效果确切后,于气腹前和气腹后20min分别监测呼吸频率及血气分析。结果:气腹前和气腹后20min呼吸频率及血气分析差异有显著性(P<0.05)。结论:连续硬膜外麻醉下行腹腔镜手术建立CO2气腹后对患者的呼吸系统有显著影响,应予以重视。

Objective：To investigate the changes of respiratory rate and blood gas before aeroperitonia and 20 minutes after aeroperitonia in laparoscopic operation with epidural anesthesia. Methods： Forty patients performed gynecological and general laparoscopic operation were monitored the respiratory rate and blood gas before aeroperitonia and 20 minutes after aeroperitonia after effective epidural anesthesia. Results： There were significant differences in the respiratory rate and blood gas between the results at the two time spots（ P 〈 0.05 ）. Conclusions： The aeroperitonia with carbon dioxide can affect the respiratory system in patients undergoing laparoscopic operation after continual epidural anaesthesia.