摘要
目的探讨硬膜外麻醉下免气腹腹腔镜胆囊切除术(LC)的临床治疗效果。方法选取2012年3月至2014年6月在我院治疗的胆囊结石患者,将患者随机分为研究组(给予硬膜外麻醉免气腹LC)和对照组(给予全麻有气腹LC),观察两组患者手术中出血量、手术时间、术前麻醉时间、肛门恢复排气时间、切口感染、住院天数、住院费用等指标。结果研究组术前麻醉时间为(4.44±0.45)min,长于对照组的(3.42±0.72)min,而排气时间为(20.35±7.02)h,短于对照组的(31.52±6.38)h,差异有统计学意义(P<0.05);研究组术后下床时间和住院费用分别为(18.12±7.05)h和(8 135.45±1 159.48)元,均优于对照组的(23.47±6.82)h和(9 563.64±1 532.04)元,差异有统计学意义(P<0.05);研究组术后并发症发生率为3.28%,而对照组的5.29%,两组差异无统计学意义(P>0.05)。结论硬膜外麻醉下免气腹LC,相对于全麻下LC,手术组患者创伤相当,免去了全麻及其苏醒过程,恢复快,费用明显减少,经济效益明显,是一种值得推广的术式。
Objective To investigate the clinical effect of gasless laparoscopic cholecystectomy under epidural anesthesia. Methods The clinical data of the patients with cholecystolithiasis between Mar. 2012 and Jun.2014 in our hospital were analyzed. The patients were randomly divided into study group（given epidural anesthesia gasless laparoscopic cholecystectomy） and control group（given general anesthesia with air film laparoscopic cholecystectomy）. Patients＇ intraoperative blood loss, operation dration, the average onset time of anesthesia, anal exhaust time, incision infection, hospitalization days, cost of hospitalization, etc were recorded.Results The average onset time of anesthesia（4.44±0.45） min in study group was longer than that in control group（3.42±0.72） min, the exhaust time（20.35±7.02） h was shorter than control group（31.52±6.38） h, the difference was statistically significant（P〈0.05）; The postoperative ambulation time（18.12±7.05） h and cost of hospitalization（8 135.45±1 159.48） yuan in study group were better than those in control group（23.47±6.82） h and（9 563.64±1 532.04） yuan, the differences were statistically significant（P〈0.05）; The complication rate was3.26% in study group, while control group was 5.29%, the difference was not statistically significant（P〉0.05）.Conclusion Compare with CLC, GLC has the same surgical trauma, free of general anesthesia and recovery process, sooner recovery, and significantly less hospitalization costs, thus the economic benefits are obvious, and worth to be promoted.
出处
《肝胆胰外科杂志》
CAS
2015年第3期193-196,共4页
Journal of Hepatopancreatobiliary Surgery
关键词
硬膜外麻醉
胆囊切除术
腹腔镜
免气腹
epidural anesthesia
cholecystectomy
laparoscopic
gasless
