摘要
目的探讨腰-硬联合麻醉复合静脉全身麻醉在妇产科腹腔镜手术中的应用效果。方法选取2010年12月至2012年12月我院收治的腹腔镜手术患者136例,随机分成研究组(腰-硬联合麻醉复合静脉全身麻醉)和对照组(静脉全身麻醉)各68例。比较两组患者的平均动脉压、心率水平、麻醉药物用量、清醒时间和拔管时间。结果研究组患者气腹后和手术结束后的平均动脉压、心率水平明显低于对照组,研究组患者丙泊酚、阿曲库铵的药物用量水平显著低于对照组,研究组患者的清醒时间、拔管时间明显低于对照组,差异均具有统计学意义(P<0.05)。结论在妇产科腹腔镜手术中采用腰-硬联合麻醉复合静脉全身麻醉的临床麻醉效果较好,是临床应用麻醉过程中的理想选择方式之一。
Objective To investigate the application effect of spinal-epidural anesthesia combined with intravenous anesthesia in laparoscopic surgery of obstetrics and gynecology department. Methods 136 patients with laparoscopic operation treated in our hospital from December 2010 to December 2012 were randomly divided into study group（treated with spinal epidural anesthesia combined with intravenous anesthesia） and control group（treated with intravenous anesthesia）, with 68 cases in each group. The mean arterial pressure（MAP）, heart rate, anesthetic dosage, recovery time and extubation time between two groups were compared. Results The MAP and heart rate of study group after pneumoperitoneum and after operation were lower than those of control group, the anesthetic dosage of propofol and atracurium of study group was lower than that of control group, the recovery time and extubation time of study group were lower than those of control group, all the difference was statistical（P〈0.05）. Conclusions The spinal-epidural anesthesia combined with intravenous anesthesia has good effect in obstetrics and gynecology laparoscopic surgery, which is one of the ideal method for clinical anesthesia.
出处
《临床医学工程》
2015年第8期1010-1011,共2页
Clinical Medicine & Engineering
关键词
腰-硬联合麻醉
静脉全身麻醉
妇产科
腹腔镜
Spinal-epidural anesthesia
Intravenous anesthesia
Obstetrics and gynecology department
Laparoscopy
