不同麻醉方式对腹腔镜下全子宫切除术患者应激反应的影响被引量：9

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摘要目的:观察不同麻醉方式对腹腔镜下全子宫切除术患者应激反应的影响。方法:将2017年1月~2018年6月在我院行腹腔镜下全子宫切除术治疗的86例患者随机分成实验组和对照组,每组43例,对照组手术时接受全身麻醉,实验组接受全身麻醉联合硬膜外麻醉。对比两组不同时间点肾上腺素、去甲肾上腺素水平;对比两组不同时间点血压和心率水平;对比两组自主呼吸恢复时间和苏醒时间。结果:实验组术毕和术后24 h时的AD、NA水平均低于对照组(P<0.05);两组麻醉前、气管插管前的舒张压、收缩压、心率比较,差异无统计学意义(P>0.05),但建立气腹10 min后、术毕拔管时实验组DBP、SBP、HR水平均低于对照组(P<0.05);实验组自主呼吸恢复时间和苏醒时间均早于对照组(P<0.05)。结论:全身麻醉联合硬膜外麻醉可有效降低腹腔镜下全子宫切除术患者围手术期AD、NA合成、分泌,从而降低患者DBP、SBP、HR水平。

作者张丽

机构地区河南省周口市太康县中医院麻醉科

出处《实用中西医结合临床》 2019年第5期118-119,共2页 Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine

关键词全子宫切除术腹腔镜麻醉方式全身麻醉硬膜外麻醉应激反应

分类号 R614 [医药卫生—麻醉学]

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