摘要
目的对全麻和硬膜外麻醉在妇科腹腔镜手术中的应用效果进行比较和分析。方法 2010年5月至2011年12月我院妇科共对80例患者进行手术治疗,随机的将其分为全麻组和硬膜外麻醉组,每组患者各40例,对于全麻组采用全麻的方式,对于硬膜外麻醉组采用硬膜外麻醉的方式,观察并分析两组患者的麻醉效果。结果两组患者在气腹20～30min后,pH值及PaCO2发生了明显变化(P<0.05),差异具有统计学价值。两组病例BP、HR及MAP麻醉前后(P>0.05),其差异没有统计学价值。结论在妇科手术中采用全麻的方式明显优于硬膜外麻醉。
Objective To compare and analyze the applicable effect of general anesthesia and epidural anesthesia in gynecological operation. Methods 80 patients treated with operation in our hospital from May 2010 to December 2011 in gynaecology department of our hospital were selected and divided into 2 groups, the general anesthesia group and the epidural anesthesia group, each group for 40 cases. The general anesthesia group applied general anesthesia way and the epidural anesthesia group using epidural anesthesia way. Observing and analyzing the anesthetic effect of 2 groups. Results pH value and PaCO2 of 2 groups 20-30 min after pneurnoperitoneum had significant change （P〈0.05）, and the difference had statistical significance. The difference of BP, HR and MAP before and after anesthesia between 2 groups had on statistical significance（P〉0.05）. Conclusion In gynecological operation, applying general anesthesia is better significantly than using epidural anesthesia.
出处
《中国医药指南》
2012年第27期15-16,共2页
Guide of China Medicine
关键词
全身麻醉
硬膜外麻醉
妇科手术
General anesthesia
Epidural anesthesia
Gynecological laparoscopic surgery
