观察不同麻醉方法在腹腔镜子宫切除术过程中的麻醉效果分析

Observe Different Anesthetic Methods in Laparoscopic Hysterectomy in the Process of the Anesthetic Effect Analysis

目的观察单纯全麻术和硬膜外复合全麻术在腹腔镜子宫切除术麻醉中的应用及效果。方法对2010年1月至2012年1月间我院139例进行腹腔镜子宫切除术的患者进行两种不同麻醉方式的临床随机分组。观察两组患者手术过程中维持麻醉药品的使用量。并测定患者术后血液中的血糖、C反应蛋白(CRP)以及白细胞介素6(IL-6)水平等指标。结果硬膜外复合全麻术组患者手术过程中维持麻醉药品的使用量、患者清醒时间均明显低于单纯全麻术组(P<0.01)。而血糖、CRP、IL-6指标亦显示,硬膜外复合全麻术组较单纯全麻术组明显下降。结论硬膜外复合全麻术,能够有效减轻手术过程中的应激反应,减少麻醉药品的使用剂量。效果较为明显,手术较为满意,值得临床推广。

Objective observe the simple general anesthesia and epidural and general anesthesia in laparoscopic hysterectomy anesthesia effect. Methods 139 cases of laparoscopic hysterectomy patients were randomized two different clinical anesthesia. Maintain the use of the narcotic drugs were observed in patients during surgery, the patients. Were measured in the blood of patients with blood glucose, C-reactive protein （CRP） and interleukin-6 （IL-6） level indicators. Results he patient awake time are significantly lower than those in the general anesthesia group （P〈0.01） . Blood glucose, CRP, IL-6 indicators also show that epidural anesthesia surgery group than a simple the anesthesia surgery group decreased. Conclusion epidural and general anesthesia, can effectively reduce the stress response in the surgical procedure to reduce the dose of the use of narcotic drugs.