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目的分析研究不同麻醉方式在妇科腹腔镜手术中的麻醉效果。方法随机抽选86例妇科腹腔镜手术患者根据不同麻醉方式分为两组,全麻组行气管内插管,硬膜外复合静脉麻醉组行硬膜外复合静脉麻醉。对两组患者分别于麻醉前、气腹后5、30min及放气后5min各时间点记录血压、心率、脉搏等,同时观察CO2气腹对两组患者呼吸、循环功能及全麻并发症的影响。结果硬膜外复合静脉麻醉组患者各时间点监测的BP、HR、SpO2与全麻组相比,差异不明显(P>0.05),但术后苏醒时间较全麻组更短。结论硬膜外复合静脉麻醉的患者BP、HR、SpO2反应不明显,术后可及时恢复苏醒,对腹腔镜手术而言是一种很好的选择,值得加强临床研究。
Objective To analyze the anesthetic effect of different anesthesia in gynecological laparoscopic surgery. Methods 86 cases of gynecological laparoscopic surgery were randomly divided into two groups according to different anesthesia. The general anesthesia group was treated with endotracheal intubation and epidural combined intravenous anesthesia with epidural anesthesia. Blood pressure, heart rate and pulse rate were recorded before anesthesia, 5,30 minutes after pneumoperitoneum and 5 minutes after deflation respectively. Meanwhile, the effects of CO2 pneumoperitoneum on respiration, circulatory function and general anesthesia complications were observed influences. Results Compared with general anesthesia group, BP, HR and SpO2 in epidural intravenous anesthesia group were not significantly different (P> 0.05), but the postoperative recovery time was shorter than that of general anesthesia group. Conclusion The BP, HR and SpO2 responses in patients with epidural anesthesia are not obvious, and the recovery after operation is prompt, which is a good choice for laparoscopic surgery. It is worth to strengthen the clinical research.