摘要
目的探究和分析全麻复合硬膜外麻醉在腹腔镜下子宫肌瘤手术中的应用价值。方法选取威海市中医院运用腹腔镜进行子宫肌瘤切除治疗术的160例患者为研究对象,随机分为对照组和实验组,各80例。对照组采用全身麻醉;实验组使用身麻醉复合硬膜外麻醉。对比患者平均动脉压、手术时间、全麻所使用的麻醉药剂量以及术后患者的苏醒时间。结果在进行切皮、气腹20 min以及手术后,对照组的平均动脉压显著高于实验组。对照组中患者全身麻醉的用药剂量、手术时间以及进行手术之后患者苏醒时间均显著高于实验组(P <0.05)。结论在腹镜下进行子宫肌瘤手术时,运用全麻复合硬膜外麻醉能够有效地减少患者全身麻醉所需的用药剂量,缩短患者进行手术的时间以及患者手术之后苏醒的时间。
Objective To investigate and analyze the value of general anesthesia combined with epidural anesthesia in laparoscopic uterine fibroid surgery. Methods A total of 160 patients who underwent laparoscopic uterine myomectomy in our hospital were selected and randomly divided into control group and experimental group,80 cases each group. Patients in the control group underwent general anesthesia,while patients in the experimental group were treated with anesthesia combined with epidural anesthesia. The average arterial pressure,the operation time,the dose of anesthetic used in general anesthesia and the recovery time were compared. Results The mean arterial pressure of the control group was significantly higher than that of the experimental group after skin incision,pneumoperitoneum for 20 min and after operation. The dose of general anesthesia,the operation time and the recovery time of patients in the control group were significantly higher than those in the experimental group(P <0.05). Conclusion In the operation of hysteromyoma under laparoscope,the use of general anesthesia combined with epidural anesthesia can effectively reduce the dose required for general anesthesia,shorten the time for the operation and the time for the patient to wake up after the operation.
出处
《大医生》
2018年第10期14-15,共2页
Doctor
关键词
全麻复合硬膜外麻醉
腹腔镜
子宫肌瘤
general anesthesia combined epidural anesthesia
laparoscopy
uterine fibroids
