摘要
将腹腔镜胆囊切除术随机分为二组每组32例。I为全麻组,II为硬膜外联合喉罩全麻组。结果 II组的芬太尼用量、手术时间、苏醒时间均少于I组,有显著性差异(P<0.05)。两组患者的SPO2在麻醉前后及术毕未见明显变化,但I组麻醉后的MAP较麻醉前明显升高,有显著性差异(P<0.05),术毕降低;II组麻醉后的MAP较麻醉前降低,但未见明显差异(P>0.05),术毕II组的MAP升高至麻醉前。I组麻醉后的HR较麻醉前显著升高,术毕明显降低,但仍高于麻醉前,有显著性差异(P<0.05);而II组麻醉后的HR较术前升高,但差异不显著,且术毕降低至麻醉前水平,差异无显著性(P>0.05)。应用硬膜外联合喉罩全麻效果好,生理干扰小,值得推广。
Objective To observe the effect of the epidural and laryngeal mask anesthesia joint used in laparoscopic cholecystectomy surgery. Methods 64 patients were randomly divided into two groups（ Group Ⅰ , Group Ⅱ ） ; each group of 32 cases. Group Ⅰ applied general anesthesia, and Group Ⅱ used the epidural and laryngeal mask anesthesia joint. Comparing the two groups,we found that Ⅱ group＇s fentanyl use, operation time and recovery time were less than that of I group, the difference was significant （ P 〈 0.05 ）. SP02 in two groups of patients showed no significant change before and after anesthesia and operative, but the MAP concentration in group I after anesthesia was significantly higher than before anesthesia（ P 〈 0.05 ） and reduced after surgery; MAP concentration in II group decreased after anesthesia, but no significant difference （P 〉0.05）. Then, it increased to pre-anes- thetic after surgery. HR of I group significantly elevated after anesthesia than before, then significantly reduced af- ter surgery, but still higher than pre - anesthesia, there was a significant difference （ P 〈 0.05 ） ; while the HR concentration of Group II increased after anesthesia compared with pre - anesthesia, but the difference was not significant. It reduced to pre - anesthetic after surgery and the difference was not statistically significant （ P 〉 0.05 ）. The combination of epidural anesthesia and laryngeal mask anesthesia is worthy of promotion and application because of beneficial effect and little physical interference
出处
《生物医学工程学进展》
CAS
2013年第1期49-51,共3页
Progress in Biomedical Engineering
关键词
腹腔镜胆囊切除术
硬膜外麻醉
喉罩全麻
laparoscopic cholecystectomy
epidural anesthesia
laryngeal mask anesthesia
