腹腔镜疝修补术中采用丙泊酚辅助腰硬联合麻醉与全身麻醉的临床效果分析

Clinical Effect of Propofol Assisted Spinal-epidural Anesthesia and General Anesthesia in Laparoscopic Hernia Repair

目的对比分析腹腔镜疝修补术中应用丙泊酚辅助腰硬联合麻醉和全身麻醉的有效性、安全性、患者满意度及麻醉相关费用。方法选取该院2014年1月—2017年1月收治的128例行腹腔镜疝修补的患者,其中应用丙泊酚辅助腰硬联合麻醉的患者记为A组(n=64),应用全身麻醉的患者记为B组(n=64),对比分析两组患者不同时间的心率、血压、脉搏氧饱和度(SpO_2),并详细记录术后麻醉相关费用以及患者满意度。结果所有患者均顺利安全地度过围手术期,A组患者手术后清醒时间为(8.13±2.01)min;低于B组的(13.64±4.51)min,差异有统计学意义(P<0.05)。A组患者满意度评分为(9.7±0.6)分,高于B组的(8.2±0.5)分,麻醉相关费用较低,差异有统计学意义(P<0.05)。结论腹腔镜疝修补术中应用丙泊酚辅助腰硬联合麻醉安全有效,且价格"亲民",值得临床推广。

Objective This paper tries to analyze and compare the laparoscopic hernia repair application of propofol assisted combined spinal-epidural anesthesia(CSEA)and general anesthesia in effectiveness,safety,anesthesia-related costs and patient’s satisfaction.Methods The clinical data of 128 laparoscopic hernia repair application cases were selected in this hospital from January 2014 to January 2017,the propofol assisted CSEA was used in laparoscopic hernia repair in 64 patients as group A(n=64);general anesthesia was used in laparoscopic hernia repair in 64 patientsas the group B.Two groups were compared at different time during surgerywith blood pressure,heart rate,pulse oxygen saturation(SpO2),the postoperative patient’s satisfaction and anesthesia-related costs.Results All patients underwent perioperative management smoothly and safely.The awake time of patients in group A was(8.13±2.01)min after operation and(13.64±4.51)min in group B,the difference was statistically significant(P<0.05).The satisfaction score of patients in group A was(9.7±0.5)points,which was higher than that in group B of(8.2±0.5)points,the cost of anesthesia was lower,the differences were statistically significant(P<0.05).Conclusion Laparoscopic hernia repair using propofol assisted spinal anesthesia is safe and effective,and the price is suitable for people,so it is worth clinical promotion.