摘要
目的：探讨腹腔镜辅助下的阴式全子宫切除术的麻醉方式及其临床效果。方法：选择择期仃腹腔镜辅助下的15月式全子宫切除术的患者80例，随机分为两组，每组40例。观察组采用腰-硬联合麻醉辅以静脉全麻；对照组仅采用气管插管静脉复合全麻。记录麻醉前、CO2气腹后10min、30min和术后10min的心率、平均动脉压、血氧饱和度以及呼气末CO2分压。结果：观察组各时间平均动脉压、心率、血氧饱和度无差异（P〉0．05）；对照组气腹后10min、30min时平均动脉压和心率既显著高于同组麻醉前又显著高于观察组同时间点（P〈0．05）；两组气腹后10min、30min时的呼气末CO2分压显著高于间组麻醉前（P〈0．05）。结论：腰-硬联合阻滞应用于腹腔镜辅助下的阴式全子宫切除术安全可靠，值得临床推广。
Objective： To evaluate the laparoscopic assisted vaginal hysterectomy and clinical effects of anesthesia.Methods： 80 patients scheduled for laparoscopic assisted vaginal hysterectomy were randomly divided into two groups of 40 eases.Observation group combined spinalepidural anesthesia supplemented by intravenous anesthesia;control group with tracheal intubation intravenous anesthesia.Recorded before anesthesia, CO2 pneumoperitoneum after 10min, 30min and lOmiu after the heart rate,mean arterial pressure,oxygen saturation and end-tidal CO2 partial pressure.Results： The group at each time mean arterial pressure,heart rate,oxygen saturation was no difference （P〉 0.05）;control group,pneumoperitoneum after 10min, 30min mean arterial pressure and heart rate when both were significantly higher than the same group was significantly higher than before anesthesia Observation group at the same time point （P 〈0.05）;two pneumoperitoneum after 10min, 30min when the end-tidal CO2 partial pressure was significantly higher than the same group before anesthesia（P〈0.05）.Conelusion： The combined spinal-epidural block used in the laparoseopie assisted vaginal hysterectomy was safe, reliable, and worthy to he nonularized.
