腹腔镜手术不同麻醉方法的临床疗效分析

Clinical curative effect analysis of different anesthesia methods in laparoscopic surgery

目的:分析腹腔镜手术患者的麻醉方法和效果。方法:收治腹腔镜手术患者100例,随机分为对照组和试验组各50例。对照组给予静吸全身麻醉,试验组给予硬膜外阻滞+静吸全身麻醉。观察麻醉效果,比较心率、血压指标变化和苏醒时间。结果:试验组、对照组麻醉优良率分别为100%、94%。试验组不良反应发生率明显低于对照组,建立气腹后、术毕的心率和血压指标低于对照组,自主呼吸、苏醒、拔管时间少于对照组(P<0.05)。结论:针对腹腔镜手术患者,硬膜外阻滞复合静吸全身麻醉效果更佳,呼吸循环稳定、苏醒快、不良反应少。

Objective:To analyze the anesthesia methods and effects of patients with laparoscopic surgery.Methods:100 patients with laparoscopic surgery were selected.They were randomly divided into the control group and the experimental group with 50 cases in each.The control group was given intravenous general anesthesia.The experimental group was given epidural anesthesia and intravenous general anesthesia.The effect of anesthesia was observed,and the changes of heart rate,blood pressure and the recovery time were compared.Results:The excellent rate of anesthesia in the experimental group and the control group were 100% and 94% respectively.The incidence rate of adverse reactions in the experimental group was significantly lower than that of the control group.The heart rate and blood pressure index after the establishment of pneumoperitoneum and operation were lower than those of the control group,the times of spontaneous breathing, waking up,tube drawing were less than those of the control group(P<0.05).Conclusion:For patients with laparoscopic surgery,the epidural anesthesia combined with intravenous general anesthesia effect is better;the respiratory circulation is stable;the waking up is fast;the adverse reaction is less.