摘要
目的对比硬膜外麻醉低气腹压和静吸复合全身麻醉高气腹压两种情况下腹腔镜输卵管吻合效果。方法选取我院接收的54例患者接受硬膜外麻醉低气腹压治疗,作为A组,共22例患者,在选取32例作为B组,接受全麻高气腹压治疗。对两组患者的手术配合度、生命指标、手术时间、并发症情况等进行观察分析。结果 A组和B组患者接受麻醉诱导以及维持效果都非常优秀,术中患者的血压、Sp O2变化不明显。A组患者的血气指标要比B组平稳,AB组患者的手术出血量、住院时间、并发症等情况为A组较优秀,且A组患者术后肠功能恢复时间比B组短。结论控制气腹压力在0.81-1.1 k Pa（6-8 mm Hg）时,患者接受硬膜外麻醉腹腔镜输卵管吻合术安全性最高,具有经济性,因此临床中可以推广使用。
Objective To compare the epidural anesthesia with low pressure pneumoperitoneum and Intravenous Inhalation Combined Anesthesia high pneumoperitoneum pressure two cases laparoscopic tubal anastomosis effect. Methods In our hospital received 54 patients received epidural anesthesia with low pressure pneumoperitoneum therapy as group A, a total of 22 cases of patients, in the selected 32 cases as group B, received general high pneumoperitoneum pressure treatment. Results A group and B group received anesthesia induction and lnaintenance effects are very good, blood pressure, SpO2 surgery in patients with no obvious change. Blood gas index of patients in the A group than in the B group is stable, the patients in the AB group operation bleeding, hospitalization time, complications of group A is excellent, and the A group of patients with postoperative intestinal function recovery time shorter than B group. Conclusion To control the pressure of pneumoperitoneum in 11.81 - 1.1 kPa （ 6 - 8 mmHg ）, the patients received epidural anesthesia for laparoscopic tubal anastomosis with the highest safety, econonw, therefore can be widely used in clinic.
出处
《中国卫生标准管理》
2015年第12期49-49,共1页
China Health Standard Management
关键词
腹腔镜输卵管吻合术
腹腔镜
麻醉
Laparoscopic tubal anastomosis, Laparoscopy, Anesthesia
