两种麻醉方式在妇科腹腔镜手术中的效果观察

Effectiveness Analysis of Two Anesthesia Methods in Gynecological Laparoscopic Surgery

目的:探讨两种不同麻醉方式在妇科腹腔镜手术中的麻醉效果。方法:将78例妇科腹腔镜手术患者分为气管内插管全麻组和硬膜外复合静脉麻醉组,观察两组麻醉效果。结果:硬膜外复合静脉麻醉组麻醉前、气腹后5min、气腹后30min、放气后5min时各节点的BP、HR、SpO2与全麻组比较,差异不明显(P>0.05),硬膜外组术后完全苏醒时间(7.5±2.3)h明显短于全麻组(28.6±7.7)h(P<0.01)。结论:硬膜外麻醉复合静脉阻滞,麻醉前后BP、HR、SpO2变化不大、术后完全苏醒时间短,能满足腹腔镜手术的要求,值得临床进一步探索。

Objective：To investigate the effectiveness of two anesthesia methods in gynecological laparoscopic surgery.Methods：78 cases of patients undergoing gynecological laparoscopic surgery were randomly divided into general anesthesia group and epidural anesthesia group,the effectiveness was observed.Results：Compared the BP,HR,SpO2 of before anesthesia,pneumoperitoneum after 5min,30min and 5min after deflation in epidural anesthesia group with general anesthesia group,the different were not significantly（P 0.05）,however,the fully awake time（7.5±2.3）h was significantly shorter than the general anesthesia group（28.6±7.7）h（P0.01）.Conclusion：Using epidural anesthesia combined with intravenous anesthesia,the change of BP,HR and SpO2 before and after anesthesia were little,fully awake time was short,which could reach the requirements of laparoscopic surgery and was worthy of further exploration.