妇科腹腔镜手术硬膜外麻醉与全身麻醉对血流动力学的影响

目的探讨妇科疾病腹腔镜手术采用硬膜外麻醉与全身麻醉对血流动力学影响。方法360例患者随麻醉方法不同分为A、B两组各180例患者，A组选择硬膜外麻醉，B组选择全身麻醉。以麻醉前、插管时和拔管时三个时间点进行对比，观察两组手术前后血流动力学情况。结果两组麻醉前各项指标对比，均无统计学差异，P〉0．05；插管时B组各项指标分别与A组对比，均存在统计学差异。结论传统麻醉法硬膜外麻醉虽有一定程度牵扯痛，血流动力学指标稳定，全麻虽会出现插管、拔管血流动力学波动，但也在正常范围内。

Haemodynamics Influence of Epidural Anesthesia and General Anesthesia to Patients with Gynecological Laparoscopic Surgery

Objective To discuss the hacmodynamics influence of epidural anesthesia and general anesthesia. Method 360 patients were divided into two groups according to different anesthesia methods and each group included 180 patients. Group A was chosen epidural anesthesia, group B was chosen general anesthesia, comparing the three time points of before anesthesia, during intubation and extubation, observed the two groups of hemodynamics before and after operation. Results The indexes of patients in the two groups were of no statistical difference, P〉0.05; at the time of tube incubation, the indexes of Group B had statistical difference with those of Group A, P〈0.05. Conclusion Traditional anesthesia epidural anesthesia has a certain degree of pain, hemodynamic indexes are stable, although there will be a general anesthesia intubation and extubation hemodynamic fluctuations, but also in the normal range.