摘要
目的探讨脊椎-硬膜外麻醉在腹腔镜手术中的作用。方法以2010年1月至2012年1月收治的妇科腹腔镜手术患者90例为研究对象,随机分为对照组和观察组,对照组行全身麻醉,观察组行脊椎-硬膜外麻醉,比较两组患者手术情况及应激水平的差异。结果在气腹放气5min后,观察组患者呼吸频率高于对照组,气道压、纤维蛋白原浓度及血糖水平皆低于对照组,其差异有统计学意义。在应激水平的比较中,观察组患者肾上腺素、皮质醇、IL-6和TNF-α皆浓度低于对照组,其差异有统计学意义(P<0.05)。结论相较于全身麻醉,脊椎-硬膜外麻醉在达到满意麻醉效果的同时,可以降低患者应激水平,对患者的治疗和康复有积极意义。
Objective To explore the effect of spinal-epidural anesthesia in laparoscopic surgery. Methods From January 2010 to January 2012,90 cases of gynecological laparoscopic operation as the research object, randomly divided into the control group and observation group, the control group with general anesthesia, the observation group with spinal-epidural anesthesia. Comparison of differences between two groups of patients with operation con- ditions and stress levels. Results The observation group respiratory rate was higher than that of the control group in 5 rain after deflation;The airway pressure,the concentration of fibrinogen and blood glucose level in the observation group was lower than that of the control group. The difference was statistically significant （P〈0.05）. Comparison of stress levels between two groups, epinephrine, cortisol,IL-6 and TNF- a concentration in observation group was lower than that of the control group. The difference was statistically significant （P〈0.05）. Conclusion Compared with general anesthesia,spinal epidural anesthesia can also achieve satisfactory effect while reducing stress levels in patients,have a positive significance for the treatment and recovery of patients.
出处
《检验医学与临床》
CAS
2013年第13期1664-1665,共2页
Laboratory Medicine and Clinic
关键词
脊椎-硬膜外麻醉
腹腔镜
应激
spinal-epidural anesthesia
laparoscope
stress
