老年患者行腹腔镜下子宫颈癌根治术的麻醉分析

Analysis on Laparoscopic Radical Surgery Anesthesia of Cervical Cancer of Elderly Patients

目的探讨老年患者行腹腔镜下子宫颈癌根治术的麻醉处理方法。方法回顾性分析天津市中心妇产科医院于2009年5月至2011年10月收治的57例行腹腔镜子宫颈癌根治术患者的麻醉资料,包括呼吸循环指标(心率、血压、血氧饱和度和呼气末二氧化碳分压)和生化指标(Na+、K+、Ca2+、Glu、Cr)。对手术时间、麻醉时间、生命体征及术后并发症进行分析。结果 57例患者均顺利完成腹腔镜下子宫颈癌根治术。不同时间点心率、血压、血氧饱和度和呼气末二氧化碳分压等呼吸循环指标比较差异无统计学意义(P>0.05);不同时间点Na+、K+、Ca2+、Glu、Cr等生化指标的变化比较差异无统计学意义(P>0.05)。所有患者术后无呼吸循环系统的并发症。结论腹腔镜子宫颈癌根治术需维持血流动力学、电解质、血气等稳定,预防术后并发症。

Objective To investigate the anesthesia treatment of laparoscopic radical surgery of cervi- cal cancer of elderly patients. Methods The data of cervical~ cancer of elderly patients with laparoscopy, who were operated and treated in Tianjin Central Obstetrics and Gynecology Hospital from May 2009 to October 2011, including respiration arid circulation indexes （ heart rate, blood pressure, intraoperative mo- nitoring blood oxygen saturation, end-tidal partial pressure of carbon dioxide ） and biochemical indexes （Na ＋ , K ＋ , Ca2＋ , Glu, Cr） were retrospectively analyzed. The operative time,anesthesia time, vital signs and postoperative complications were analyzed. Results All the 57 patients were operated successfully. The heart rate, blood pressure, oxygen saturation and end-tidal partial pressure of carbon dioxide and other respiratory cycle index at different time points had no significant difference （ P 〉 0.05 ） ; no significant changes of Na ＊ , K＋ , Ca2 ＋ , Glu, Cr and other biochemical indexes at different time points （ P 〉 0.05 ）. There were no respiratory and circulatory postoperative complications in all patients. Conclusion The stability of blood flow dynamics, electrolyte and vigor in the laparoscopic radical surgery, of cervical cancer of elderly patients should be maintained, which can prevent postoperative complications.