硬膜外麻醉在妇科腹腔镜手术中的临床应用

目的 探讨妇科腹腔镜手术的麻醉方法，为临床提供一种合理、有效的选择。方法 40例妇科腹腔镜手术患者随机分为两组，分别记录气腹前10分钟(D1)、气腹后10分钟(D2)、30分钟(D3)、60分钟(D4)、解除气腹后10分钟(D5)时BP、HR、R、PETCO2等各项指标及变化。不同穿刺点(A组：L2-3，或L1-2，B组：T12-L1或T11-12)充气时的轻度不适和肩臂放射痛的发生情况。结果 40例患者，与气腹前相比，HR、MAP在气腹后10分钟时明显升高，PETCO2在气腹后10分钟即上升；充气时的轻度不适和肩臂放射痛的发生率组A明显高于B组。结论 硬膜外麻醉能够明显减轻妇科腹腔镜手术病人的应激反应，恰当的麻醉管理使其不失成为临床(尤其是基层医院)上一种常用的麻醉方法。提高硬膜外穿刺点(T12-L1或T11-12)，可减轻气腹后引起的不适感和肩臂放射性疼痛的发生率。

e Clinical Application of Epidural Anesthesia Among Laparoscopic Gynecology Surgery</b></span></td> </tr> <tr> <td align="left" height="15" valign="top"></td><td valign="top" align="left"></td> </tr> <tr> <td align="left" height="25" valign="top" colspan=2"><author> Xiaohui. <title>e Clinical Application of Epidural Anesthesia Among Laparoscopic Gynecology Surgery[J]. International Medicine & Health Guidance News, 2004, 10(16): 71-73</td> </tr> <tr> <td align="left" height="10" valign="top"></td><td valign="top" align="left"></td> </tr> <tr> <td align="left" height="25" valign="top" nowrap><b>Authors:</b></td><td width="92%" valign="top" align="left" ><author> Xiaohui</td> </tr> <tr><td align="left" height="10" valign="top"></td><td valign="top" align="left"></td></tr> <tr> <td align="left" height="25" valign="top" nowrap><b>Affiliation:</b></td><td width="92%" valign="top" align="left" ><author> XiaohuiDepartment of Anesthesiology,The section of Bai Yun Hospital of Guangzhou,Guangzhou 510500</td> </tr> <tr><td align="left" height="10" valign="top"></td><td valign="top" align="left"></td></tr> <tr> <td align="left" height="25" valign="top" nowrap><b>Abstract:</b></td><td width="92%" align="left" valign="top"></td> </tr> <tr> <td align="left" height="15" valign="top"></td><td valign="top" align="left"></td> </tr> <tr> <td align="left" valign="top" height="25" nowrap><b>Keywords:</b></td><td width="92%" valign="top" align="left" >idural anesthesia CO2 insufflation Gynecological laparoscopy</td> </tr> <tr> <td align="left" colspan="2" height="30"><b>本文献已被 <a href="http://www.cnki.com.cn/Article/CJFDTotal-GJYW200416038.htm" target="_blank">CNKI</a> <a href="http://www.cqvip.com/qk/90485X/200416/10391053.html" target="_blank">维普</a> <a href="http://d.wanfangdata.com.cn/Periodical_gjyywsdb200416038.aspx" target="_blank">万方数据</a> 等数据库收录！</b></td> </tr> </table> </td> </tr> </table> <table width="870" align="center"> <tr><td align="left"> <div id="WasReferencedList"> </div> </td></tr> <tr><td align="left"> <div id="RelateArticleList"> </div> </td></tr> </table> <table width="870" border="0" align="center" cellpadding="0" cellspacing="0"> <tr> <td height="40" align="center" class="fo2"> <a href="#" onClick="this.style.behavior='url(#default#homepage)';this.setHomePage('http://yyws.alljournals.cn')">设为首页</a> <span class="STYLE1">|</span> <a href="http://www.alljournals.cn/note.aspx">免责声明</a> <span class="STYLE1">|</span> <a href="http://www.e-tiller.com"><u>关于勤云</u></a> <span class="STYLE1">|</span> <a href="javascript:window.external.addFavorite('http://yyws.alljournals.cn','期刊界 All Journals---医药、卫生')">加入收藏</a></td> </tr> <tr> <td align="center" class="fo3"> <p align="center"> Copyright<span lang="en">©<a href="http://www.e-tiller.com"><u>北京勤云科技发展有限公司</u></a> 京ICP备09084417号 </span></p> </td> </tr> </table> </body> </html> <script language=javascript> $(document).ready(function() { $("div#WasReferencedList").html("正在获取引用信息，请稍候..."); $.get("was_referenced_list.aspx?pcid=A9DB1C13C87CE289EA38239A9433C9DC&cid=C67D2F8D2B6D9BA9&jid=1D72B5397CD84C347AFECD8284C8EAFF&yid=D0E58B75BFD8E51C&aid=4A2EA5888A402E82&iid=7801E6FC5AE9020C&is_more=0&cp=1&tn=0",function(xml){ if(xml==""){ $("div#WasReferencedList").html(""); }else{ $("div#WasReferencedList").html(xml); } }); $("div#RelateArticleList").html("正在获取相似文献，请稍候..."); $.get("relate_article_list.aspx?pcid=A9DB1C13C87CE289EA38239A9433C9DC&cid=C67D2F8D2B6D9BA9&aid=4A2EA5888A402E82&language=2&ctl=19&etl=90",function(xml){ if(xml==""){ $("div#RelateArticleList").html(""); }else{ $("div#RelateArticleList").html(xml); } }); }); </script>