电视胸腔镜手术治疗自发性气胸70例的麻醉处理分析

目的探讨电视胸腔镜手术治疗自发性气胸的麻醉处理。方法 70例行电视胸腔镜手术的自发性气胸患者作为研究对象,随机分为实验组和对照组,实验组给予局部麻醉,对照组给予气管插管全身麻醉。结果 (1)两组感觉阻滞起效时间,运动阻滞起效时间和手术时间无显著性差异(P>0.05)。(2)实验组MAP,HR和SPO2在围手术期均无显著性变化(P>0.05),对照组术中MAP和HR和实验组相比有显著性变化(P<0.05)。结论局部麻醉用于自发性气胸飞电视胸腔镜手术治疗,也可达到较好的麻醉效果,而且麻醉风险更小,值得临床考虑。

Objective To explore the anesthesia treatment on spontaneous pneumothorax under VATS. Methods 70 cases of patients with spontaneous pneumothorax under VATS were randomly divided into experimental group and control group. Control group was given local anesthesia and experimental group was given genera/anesthesia combined with trachea cannula. Results （1） The feel block work time, sports block work time and surgery time in two groups had no significant difference （P〉0.05）. （2） MAP, HR and SPO2 in experimental group had no significant changes （P〉0.05） during perioperative period, but MAP and HR in control group had significant changes compared with experimental group （P〈0.05）. Conclusion Local anesthesia used on spontaneous pneurnothorax under VATS, can reach up good anesthesia effect, too; and have lower risk, so it deserved considering in clinical work.