摘要
目的 分析单纯全身麻醉与全身麻醉复合硬膜外阻滞对妇科腹腔镜子宫切除术中的血流动力学变化及术后并发症的影响。方法 选取本院80例腹腔镜子宫切除术患者开展研究,纳入时间为2018年10月至2019年12月,随机分为对照组和观察组,各40例,分别实行单纯全身麻醉与全身麻醉复合硬膜外阻滞,对比两组患者术中血流动力学变化及术后并发症发生率。结果 观察组的血流动力学变化均优于对照组,且和对照组相比,观察组并发症发生率相对较低,差异有统计学意义(P <0.05)。结论 腹腔镜子宫切除术中应用全身麻醉阻滞复合硬膜外阻滞能够有效改善患者的血流动力学指标,降低并发症发生率。
Objective To analyze analyze the effects of general anesthesia alone combined with general anesthesia and epidural block on hemodynamic changes and postoperative complications during gynaecological laparoscopic hysterectomy.Methods A total of 80 patients with laparoscopic hysterectomy in our hospital were selected for this study.The specimens were included from October 2018 to December 2019,and were randomly divided into the reference group and the observation group,with 40 cases in each group.The control group and the observation group were combined with epidural block with general anesthesia and general anesthesia.The intraoperative hemodynamic changes and postoperative complications were compared.Results The hemodynamic changes of the observation group were better than that of the reference group,and the complication rate of the observation group was relatively lower than that of the reference group,with statistical significance(P<0.05).Conclusion The use of general anesthesia block combined with epidural block during laparoscopic hysterectomy can effectively improve the hemodynamic indexes of patients and reduce the incidence of complications.
作者
佟泉威
TONG Quanwei(Dandong Central Hospital,Dandong 118000,China)
出处
《中国医药指南》
2023年第11期92-94,共3页
Guide of China Medicine
关键词
妇科手术
全身麻醉
硬膜外阻滞
血流动力学变化
Gynecological surgery
General anesthesia
Epidural block
Hemodynamic changes
