摘要
目的探讨静脉麻醉和硬膜外联合全麻对于腹腔镜下胆囊切除术的影响。方法 200例在我院实施腹腔镜胆囊切除术的患者按照随机分组的方法分为静脉麻醉组(A组),硬膜外联合全麻组(B组),比较2组术后疼痛情况,气腹后对2组患者的收缩压(SBP),心率(HR),平均动脉压(MAP)和组织二氧化碳分压(Pa CO2)以及患者的清醒时间,躁动和呕吐发生情况进行统计分析。结果气腹后B组患者SBP、MAP、HR和Pa CO2均明显低于A组(P<0.05),B组患者清醒时间较A组明显更短(P<0.05),B组患者术后躁动发生率较A组明显偏低(P<0.05),手术后B组患者Ⅰ级疼痛患者所占比率明显高于A组(P<0.05)。结论在腹腔镜下胆囊切除术中采用硬膜外联合全麻相对于静脉麻醉能够更好地稳定患者血流动力学,降低术后不良反应和疼痛。
Objective To investigate the effect of intravenous anesthesia and epidural anesthesia combined general anaesthetic on laparoscopic cholecystectomy. Methods 200 patients implemented laparoscopic cholecystectomy were randomly divided into intravenous anesthesia group （group A） and epidural anesthesia combined general anaesthetic group （group B）. And the pain, sober time , restlessness and vomiting were analysis after surgery, the SBP, HR, MPA and PaCO2 were measured after pneumoperitoneum.Results SBP, MAO, HR and PaCO2 of group B were significantly lower than that in group A（P〈0.05 ）. And the sober time of group B was shorter than that in group A （P〈0.05）.The incidence of restlessness in group B after surgery was significantly lower than that in group A （P〈0.05）. After surgery, the degree of pain at I level in group B was significantly higher than the percentage of patients in group A （P〈0.05）.Conclusions The epidural anesthesia combined general have better effect on stabilizing hemodynamics, declining the incidence of adverse reactions and reducing postoperative pain than intravenous anesthesia.
出处
《基层医学论坛》
2016年第15期2033-2034,共2页
The Medical Forum
关键词
腹腔镜下胆囊切除
静脉麻醉
硬膜外联合全麻
临床对比
Laparoscopic cholecystectomy Intravenous anesthesia Epidural anesthesia combined generalanaesthetic Clinical comparison
