摘要
目的:观察腹腔镜胆囊摘除术(LC)两种不同麻醉方式下患者的不同生理变化用于指导临床护理。方法:LC患者50例,随机均分为两组。Ⅰ组,硬膜外阻滞复合静脉麻醉;Ⅱ组气管插管全身麻醉。观察各时段患者血流动力学变化,术后恶心、呕吐及术后疼痛与镇静情况。结果:Ⅰ组在手术开始后半小时内血流动力学波动较Ⅱ组大(P<0.01),Ⅱ组在术毕后半小时内血流动力学波动较Ⅰ组大(P<0.01)。且术后恶心、呕吐发生率较Ⅰ组高(P<0.01),疼痛与镇静效果较Ⅰ组差(P<0.01)。结论:硬膜外阻滞复合静脉麻醉用于腹腔镜的胆囊摘除术,因其术后苏醒期血流动力学改变轻,术后恶心、呕吐发生率低,术后止痛、镇静较完善。在护理上优于气管插管全身麻醉患者。
Objective：To observe the different physiological effect of laparoscopic cholecystectomy（LC） sufferers with two different anaesthesia modes inorder to supervise clinical nurse.Methods：50 LC sufferers were broked into two groups randomly.The group I was applied with single epidural block,the II was applied with trachea cannula under general anesthesia.Observed the change of sufferer blood stream dynamics,nausea,vomit,ache and composure instance after opertation.Results：The blood stream dynamics wave of group I was greater than the group II in half hour afer operation beginning（P〈0.01）,and the blood stream dynamics wave of group II was greater than the group I in half hour afer operation（P〈0.01）.Group I was higher in the incidence of surfeit and vomit（P〈0.01）,and ache and composure effectiveness was worse than group I（P〈0.01）.Conclusion：Epidural block combined with intravenous anesthesia used in laparoscopic cholecystectomy operation,nausea,vomit,ache and composure instance would be better after opertation,maybe because that the blood stream dynamics transform was lighter in revival period after operation
出处
《现代生物医学进展》
CAS
2010年第10期1938-1940,共3页
Progress in Modern Biomedicine
