首页 | 本学科首页   官方微博 | 高级检索  
     

三种麻醉方法用于腹腔镜胆囊切除术的临床研究
引用本文:田国刚,张红军,隋玉军,袁庆忠. 三种麻醉方法用于腹腔镜胆囊切除术的临床研究[J]. 腹腔镜外科杂志, 2002, 7(3): 150-152
作者姓名:田国刚  张红军  隋玉军  袁庆忠
作者单位:海口市妇女儿童医院麻醉科;莒县中医院;绍兴文理学院医学院附属医院;胜利油田中心医院,东营,257034
摘    要:目的 :探讨静脉全身麻醉、连续硬膜外麻醉和两者结合应用等 3种麻醉方法用于腹腔镜胆囊切除术 (LC)的麻醉管理对循环、呼吸及围手术期清醒质量的影响。方法 :将LC 6 0例分为 3组。静脉全麻组(GA组 ) ,连续硬膜外麻醉组 (CEA组 )和全麻复合硬膜外麻醉组 (GA +CEA) ,于麻醉前、麻醉后、气腹后5min、术毕纪录MAP、HR、Peek、PetCO2 、SpO2 、SEF ,以及呼之睁眼时间、拔管时间、术后恶心呕吐 (PONV)发生例数及术后 8h内的平均VAS评分、GA组和GA/CEA组异丙酚的平均用量。结果 :CEA组麻醉后MAP下降明显 ,GA和CEA组CO2 人工气腹后Peek、HR、MAP、PetCO2 明显增加 (p <0 0 5 ) ,CEA组SpO2 下降。术中GA/CEA组SEF大于GA组、且围手术期清醒质量较好。结论 :在腹腔镜胆囊切除术麻醉中 ,全麻复合硬膜外麻醉对循环和呼吸干扰小 ,清醒质量高且经济安全

关 键 词:麻醉  静脉内  硬膜外  腹腔镜  胆囊切除术

A comparison among three types of anesthesia in laparoscopic cholecystectomy
Tian Guogang ,Zhang Hongjun ,Sui Yujun ,et al. A comparison among three types of anesthesia in laparoscopic cholecystectomy[J]. Journal of Laparoscopic Surgery, 2002, 7(3): 150-152
Authors:Tian Guogang   Zhang Hongjun   Sui Yujun   et al
Affiliation:Tian Guogang 1,Zhang Hongjun 2,Sui Yujun 3,et al
Abstract:Objective:To compare the effects of three types of anesthesia in laparoscopic cholecystectomy (LC) Methods:In this clinical study, 60 patients performed LC were randomly divided into 3 groups 20 cases were under general anesthesia (GA), other 20 cases were under continuous epidural anesthesia (CEA), the rest 20 cases were under both GA and CEA The effects of three types of anesthesia and the changes of hemodynamics (MAP,HR), respiratory (Peek, PetCO 2,SpCO 2),SEF and recovery time of orientation were observed Results:The hemodynamic (MAP, HR),respiratory (PetCO 2,SpO 2) of GA/CEA group were more stable than those of GA or CEA groups MAP was decreased significantly during CEA, and SpO 2 of CEA was decreased during CO 2 insufflation SEF of GA/CEA group was higher than that of GA The recovery quality of GA/CEA group was better than that of GA or CEA The incidence of PONV was lower comparatively Conclusions:GA/CEA is the safest technique and, therefore, is recommended for long laparoscopic procedures (LC) It offers several advantages: quicker recovery, decreased PONV and fewer hemodynamic changes
Keywords:Anesthesia   intravenous  Anesthesia   epidural  Laparoscopy  Cholecystectomy
本文献已被 CNKI 维普 万方数据 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号