摘要
目的比较不同麻醉方式对妇科腹腔镜手术患者血流动力学影响。方法以患者入院时间奇偶数为依据将120例妇科腹腔镜手术患者分为观察组(全身麻醉)与对照组(硬膜外麻醉),各60例;对比两组麻醉效果。结果观察组患者各时间点MAP与HR比较差异无统计学意义(P>0.05);对照组患者建立气腹10 min后MAP与HR均较麻醉前明显下降(P<0.05),且与观察组同时间点比较差异有统计学意义(P<0.05);两组患者气腹建立后PAP均逐渐升高,且对照组气腹建立30 min后明显高于麻醉前(P<0.05)。结论相对于硬膜外麻醉而言,气管插管全麻更有利于维持血流动力学稳定。
Objective To compare the effect of different methods of anesthesia on hemodynamics in gynecological laparoscopic operation. Methods 120 patients with gynecological laparoscopic surgery were divided into observation group （general anesthesia） and control group （epidural anesthesia）, each group of 60 cases, the effect of anesthesia was compared between the two groups. Results There were no significant difference in MAP, HR of the observation group among each time point（P〉0.05）; the control group of patients after establishing pneumoperitoneum 10min MAP and HR were significantly decreased compared with those before anesthesia （P〈0.05）, and compared with the observation group at the same time, there were significant difference（P〈0.05）; two groups with PAP after the establishment of pneumoperitoneum were gradually increased. And the control group 30min after pneumoperitoneum was significantly higher than that before anesthesia （P〈0.05）. Conclusion Compared with epidural anesthesia, tracheal intubation anesthesia is more conducive to maintain the stability of hemodynamics.
出处
《中国继续医学教育》
2017年第7期90-92,共3页
China Continuing Medical Education
关键词
气管插管全麻
硬膜外麻醉
妇科腹腔镜手术
tracheal intubation general anesthesia
eptdural anesthesia
gynecological laparoscopic surgery
