硬膜外麻醉复合全身麻醉应用于腹腔镜子宫切除术中的效果分析

Effect analysis of epidural anesthesia combined with general anesthesia in laparoscopic hysterectomy

目的探讨腹腔镜子宫切除术患者采用硬膜外麻醉联合全身麻醉的效果。方法选择58例腹腔镜子宫切除术患者为研究对象,根据随机抽样法分为对照组和观察组,每组29例。对照组采用单一全身麻醉,观察组采用硬膜外麻醉复合全身麻醉,比较两组麻醉效果及不良反应发生情况。结果观察组麻醉起效时间、自主呼吸恢复时间及麻醉苏醒时间均短于对照组(P<0.05);观察组不良反应总发生率低于对照组(P<0.05)。结论腹腔镜子宫切除术患者实施硬膜外麻醉复合全身麻醉效果显著,可改善患者的麻醉效果,同时降低术后并发症发生率,值得临床推广与应用。

Objective To investigate the effect of epidural anesthesia combined with general anesthesia in patients undergoing laparoscopic hysterectomy.Methods A total of 58 patients with laparoscopic hysterectomy were selected as the study objects and divided into control group and observation group according to random sampling,29 cases in each group.The control group was given single general anesthesia,and the observation group was given epidural anesthesia combined with general anesthesia.The anesthetic effects and adverse reactions of the two groups were compared.Results The onset time of anesthesia,recovery time of spontaneous respiration and recovery time of anesthesia in the observation group were shorter than those in the control group(P<0.05).The total incidence of adverse reactions in observation group was lower than that in control group(P<0.05).Conclusion Epidural anesthesia combined with general anesthesia can improve the anesthesia effect and reduce the incidence of postoperative complications in patients with laparoscopic hysterectomy,which is worthy of clinical promotion and application.