两种复合麻醉方式在妇科腹腔镜手术中的应用

Two Kinds of Composite Anesthesia Methods in Gynecological Laparoscopic Surgery

目的:观察两种不同麻醉方式用于妇科腹腔镜手术的临床麻醉效果及不良反应。方法:选择ASAⅠ-Ⅱ级择期妇科手术的60例患者,随机分为:Ⅰ组采用气管插管全身麻醉(观察组),Ⅱ组采用硬膜外麻醉(对照组),每组各30例。主要观察包括DBP、SBP、HR、SpO2、PETCO2等基本指标、麻醉效果及不良反应。结果:两组麻醉患者年龄、体重差异无统计学意义(P>0.05),术前及术后两组基本指标无明显差异,气腹后15minⅡ组所测DBP、SBP、HR值明显高于Ⅰ组,SpO2却明显低于Ⅰ组(P<0.05);Ⅰ组患者麻醉效果明显优于Ⅱ组(P<0.05),Ⅱ组部分患者术后出现恶心呕吐、腰痛、心悸、气促、腹胀痛不良反应。结论:妇科腹腔镜手术中采用气管插管全身麻醉安全系数高,是腹腔镜下行妇科手术的首选麻醉方式。

Objective： To observe the clinical anesthesia effect and adverse reactions in the gynecological laparoscopic surgery with two different anesthesia ways.Methods： Sixty patients were chosen and divided into two groups randomly as tracheal intubation general anesthesia group（Group Ⅰ） and epidural anesthesia group（Group Ⅱ）.Basic indices such as blood press,heart rate,SpO2,and PETCO2 were recorded,and anesthesia effect and adverse reactions were observed.Results： The patient＇s age and weight had no statistically significant difference（P0.05）,and the above indices had no obvious changes after surgery,but in Group Ⅱ,blood press and heart rate were much higher,SpO2 was much lower than in Group Ⅰ（all P0.05） after aeroperitoneum.The anesthesia effect of Group Ⅰ was better than that of Group Ⅱ（P0.05）.Conclusion： Tracheal intubation general anesthesia is the preferred anesthesia way for gynecological laparoscopic surgery.