摘要
目的针对急性胆囊炎腹腔镜胆囊切除术,研究分析全麻复合硬膜外麻醉的临床效果。方法以2018年6月至2019年6月我院麻醉科收治的76例急性胆囊炎患者为对象,随机以每组38例作为观察组和对照组。采用静脉全麻针对对照组,全麻复合硬膜外麻醉针对观察组,将两组的麻醉效果以及疼痛指标做比较分析。结果两组的麻醉效果中观察组的起效时间、拔管时间以及苏醒时间均明显优于对照组;观察组的疼痛指标在拔管时(VRS以及VAS)均明显优于对照组;观察组的疼痛指标在拔管后均明显优于对照组,差异均具有统计学意义(P<0.05)。结论全麻复合硬膜外麻醉能提高进行腹腔镜胆囊切除术的麻醉效果,减轻疼痛感,值得推广。
Objective To study the clinical effect of general anesthesia combined with epidural anesthesia in laparoscopic cholecystectomy for acute cholecystitis.Methods From June 2018 to June 2019,76 patients with acute cholecystitis were enrolled in the Department of Anesthesiology of our hospital,38 cases in each group were randomly selected as the observation group and the control group.The control group was given intravenous general anesthesia,general anesthesia combined with epidural anesthesia for the observation group,the anesthesia effect and pain index of the two groups were compared and analyzed.Results In the anesthesia effect of the two groups,the starting time,extubation time and recovery time of the observation group were significantly better than those of the control group;the pain indexes of the observation group were significantly better than those of the control group at the time of extubation(VRS and VAS).The pain indexes of the observation group were significantly better than those of the control group after extubation,and the difference was statistically significant(P<0.05).Conclusion General anesthesia combined with epidural anesthesia can improve the anesthesia effect of laparoscopic cholecystectomy and reduce the pain,which is worth popularizing.
作者
王宁
WANG Ning(Pingyuan County First People’s Hospital,Dezhou,Shandong 253100)
出处
《智慧健康》
2020年第17期128-129,共2页
Smart Healthcare
关键词
急性胆囊炎
腹腔镜胆囊切除术
全麻复合硬膜外麻醉
效果分析
Acute cholecystitis
Laparoscopic cholecystectomy
General anesthesia combined with epidural anesthesia
Effect analysis
