摘要
目的:探讨静吸复合麻醉在黄体期患者腹腔镜手术中的应用效果。方法:选取接受腹腔镜手术治疗的125例黄体期患者为研究对象,采用抽签法将其分为静脉组(41例)、吸入组(41例)和复合组(43例)。比较3组的激素水平、心肺功能指标及不良事件发生情况。结果:复合组孕酮(P)、促黄体生成素(LH)、促卵泡生成素(FSH)、心率(HR)、平均动脉压(MAP)以及血氧饱和度(SaO_(2))等指标均高于静脉组与吸入组,差异具有统计学意义(P<0.05);麻醉苏醒后,复合组的不良事件发生率6.98%低于静脉组的21.95%和吸入组的19.51%,差异具有统计学意义(P<0.05)。结论:黄体期患者实施静吸复合麻醉辅助腹腔镜手术的效果良好,安全性更高。
Objective:To observe the application effects of combined intravenous and inhalation anesthesia on laparoscopic surgery in women during the luteal phase.Methods:125 female patients who underwent laparoscopic surgery were selected as the study subjects,all of whom were in the luteal phase.They were divided into the intravenous group(41 cases),inhalation group(41 cases),and combined group(43 cases)using a lottery method.The hormone levels,cardiopulmonary function indicators,and incidence of adverse events among the three groups of patients were compared.Results:after operation,the levels of progesterone(P),luteinizing hormone(LH),follicle-stimulating hormone(FSH),heart rate(HR),mean arterial pressure(MAP),and oxygen saturation(SaO_(2))in the combined group were higher than those in the intravenous group and the inhalation group,with a statistically significant difference(P<0.05);after treatment,the incidence of adverse events in the combined group awakening was 6.98%lower than 21.95%in the intravenous group and 19.51%in the inhalation group,with a statistically significant difference(P<0.05).Conclusion:The combination of intravenous and inhalation anesthesia assisted laparoscopic surgery for women in the luteal phase has a significant effect and higher safety.
作者
李静
李娟
杨月
梁士杰
LI Jing;LI Juan;YANG Yue;LIANG Shijie(Dept.of Anesthesiology,Jiaozuo Maternal and Child Health Hospital,Jiaozuo 454000,China)
出处
《华夏医学》
CAS
2023年第6期96-100,共5页
Acta Medicinae Sinica
基金
河南省医学科技攻关项目(2021003127)。
关键词
静吸复合麻醉
黄体期
腹腔镜手术
激素水平
心肺功能
combined intravenous and inhalation anesthesia
luteal phase
laparoscopic surgery
hormone level
cardiopulmonary function
