单纯全身麻醉与全身麻醉联合硬膜外麻醉对妇科腹腔镜患者麻醉效果的比较.pdf

《单纯全身麻醉与全身麻醉联合硬膜外麻醉对妇科腹腔镜患者麻醉效果的比较.pdf》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。

1、第24卷第21期中国现代医学杂志V01．24No．212014年7月ChinaJournalofModernMedicineJu1．2014文章编号：1005—8982(2014)21—0106—04单纯全身麻醉与全身麻醉联合硬膜外麻醉对妇科腹腔镜患者麻醉效果的比较鲁晓梅，蔡迪盛(海南省农垦那大医院麻醉科，海南儋州571700)摘要：目的比较单纯全身麻醉与全身麻醉联合硬膜外麻醉在妇科腹腔镜患者中的临床应用价值。方法选取在本院妇产科进行腹腔镜手术治疗的患者106例，将其随机分为单纯全身麻醉组(G组)和全身麻醉

2、联合硬膜外麻醉组(EG组)，每组53例。分别对两组患者的血流动力学变化情况、子宫松弛度改善情况、临床指标改善情况进行比较和分析。结果与G组患者相比，EG组患者在各阶段心率、收缩压、舒张压等血流动力学指标均明显改善，差异具有显著性(P<0．05)；患者子宫松弛度为优的比率也显著提高(P<0．05)；EG组患者的手术时间(89．92±10．45)min和麻醉苏醒时间(6．18±2．30)rnin均较G组患者明显缩短(P<0．05)。结论全身麻醉联合硬膜外麻醉的效果要优于单纯全身麻醉可作为妇科腹腔镜手术过程中理想

3、的麻醉方案。关键词：单纯全身麻醉；全身麻醉联合硬膜外麻醉；妇科；腹腔镜中图分类号：R614文献标识码：BEffectscomparisonbetweengeneralanesthesiaandgeneral-l‘1●1‘·’●'l·-●●anesthesiacomblnedwitheDlauralanesthesiaingynecologicallaparoscopysurgeryLUXiao—mei，CAIDi-sheng(DepartmentofAnesthesiology,NadaHospitalof

4、HainanProvincialStateFarms，Danzhou．Hainan571700,P尺．China)Abstract：【Objective】Tocomparetheclinicalapplicationvalueofgeneralanesthesiaandgeneralanesthesiacombinedwithepiduralanesthesiaingynecologicallaparoscopysurgery．【Methods】106laparoscopicsurgicalpa—tient

5、swereselectedanddividedintogeneralanesthesiagroup(Ggroup)andgeneralanesthesiacombinedwithepidu—ralanesthesiagroup(EGgroup)randomly，with53casesineachgroup．Thesituationsofhemodynamicchanges，uter—inelaxityimprovementandimprovethesituationofthepatientsintwogro

6、upswerecomparedandanalyzed．【Re—suitsJThehemodynamicparametersofheartrate，systolicbloodpressure，diastolicbloodpressureofpatientsinEGgroupineachstagewereimprovedsignificantly．comparedwiththepatientsinGgroup(P<0．05)．Theratioofuterinerelaxantsexcellentdegreeof

7、patientsinEGgroupwereincreasedsignificantly(P<0．05)．Theoperativetimef89．92±l0．45)minandwaketime(6．18±2．30)mininEGgroupwereshortenedsignificantlythanthatinGgroup(P<0．05)．【Conclusions】Duringthepatientswithlaparoscopicgynecologysurgery，theanesthesiaeffectofan

8、esthesiacon—binedwithepiduralanesthesiawasmuchbetterthangeneralanesthesia．Itcouldbeusedasanidealsolutionforfurtherclinicalanesthesiaapplicationandpromotion．Keywords：generalanesthesia；generalanesthesiacombined