分析硬膜外阻滞复合喉罩通气吸入全麻在妇科腹腔镜手术中的安全性和可行性

To Analyze the Safety and Feasibility of Epidural Block Combined with Laryngeal Mask Airway Inhalation General Anesthesia in Gynecological Laparoscopic Surgery

目的分析妇科腹腔镜手术中应用硬膜外阻滞复合喉罩通气吸入全麻方案的应用价值,方法收集本院接收的拟行腹腔镜手术的120例患者,随机分成2组:参考组共60例,实行单纯全麻处理;研究组共60例,实行硬膜外阻滞复合喉罩通气吸入全麻方案。观察及比较两组患者的麻醉情况及效果。结果研究组T1、T2、T3、T4等时间点的SBP、DBP、HR等指标与参考组相比显著更低(P<0.05);研究组的各种麻醉药物用量与参考组相比显著更少,苏醒时间、拔管时间显著更短,躁动率显著更低(P<0.05)。结论妇科腹腔镜手术中应用硬膜外阻滞复合喉罩通气吸入全麻方案具有良好的应用价值,值得借鉴。

Objective To analyze the outer block combined with laryngeal mask airway inhalation anesthesia application program application epidural in gynecological laparoscopic surgery Methods The collection plan to receive our hospital 120 cases of laparoscopic surgery were randomly divided into 2 groups: group with a total of 60 cases, the implementation of general anesthesia treatment; the study group of 60 cases, the implementation of epidural block combined with laryngeal mask airway inhalation anesthesia scheme. The anesthetic status and effect of the two groups were observed and compared. Results The indexes of SBP, DBP, and HR in the study group, such as T1、T2、T3、and T4, were significantly lower than those of the reference group(P<0.05); The amount of anesthesia drugs in the study group was significantly less than that of the reference group, the recovery time and extubation time were significantly shorter, and the agitation rate was significantly lower(P<0.05). Conclusion The application of epidural block combined with laryngeal mask airway inhalation general anesthesia in gynecological laparoscopic surgery has good application value and is worthy of reference.