硬膜外麻醉在腹腔镜胆囊切除术中的应用

The application of epidural anesthesia in laparoscopic cholecystectomy

目的探讨硬膜外麻醉在腹腔镜胆囊切除术中(LC)的应用。方法施行硬膜外麻醉下和全麻下腹腔镜胆囊内切除术各100例,监测术中气腹前、后收缩压、舒张压、心率和血氧饱和度并对两种结果比较分析。结果硬膜外麻醉下气腹前、后舒张压、心率变化显著(P<0.05),氧饱和度变化非常显著(P<0.01),全麻下 LC 气腹前后,舒张压变化显著(P<0.05),心率和氧饱和度变化非常显著(P<0.01),但两种麻醉方法比较对上述指标的影响无差别。结论硬膜外麻醉下腹腔镜胆囊切除术是可行的。

AIMS To study the application of epidural anesthesia in laparoscopic cholecystectomy(LC). METHODS Epidural anesthesia(n=100)and general anesthesia(n=100)in LC were studied.Systolic pressure,diastolic pressure,heart rate and oxy- gen saturation of blood before and after pneumoperitoneum were measured,compared and analysed. RESULTS In epidural anesthesia,there were significant effects in heart rate,diastolic pressure before and after pneumoperitoneum(P<0.05), and changes of oxygen saturation were statistically more significant(P<0. 01).In general anesthesia,there were significant differences in heart rate, oxygen saturation before and after pneumoperitoneum(P<0.01),and changes of diastolic pressure is remarkable too(P<0.05).But there was no significant difference between two methods. CONCLUSIONS Epidural anesthesia in LC is satisfying in clinical practice.