全麻联合硬膜外用于妇科腹腔镜手术的临床观察

目的:探讨气管插管静脉全麻与气管插管静脉全麻联合连续硬膜外用于妇科腹腔镜手术的麻醉效果。方法:将40例择期行腹腔镜全子宫手术的患者,随机分为气管插管静脉全麻组(A组,n=20)和连续硬膜外联合气管插管静脉全麻组(B组,n=20);监测患者麻醉诱导后(T1)、气管插管时(T2)、术中(T3)和拔管时(T4)心率、平均动脉压的变化,自主呼吸恢复时间、拔管时间、血氧饱和度、呼气末二氧化碳分压及完全清醒时间。结果:麻醉过程中B组HR、MAP比A组更平稳,且麻醉恢复更快。结论:硬膜外联合气管插管静脉全麻更适合妇科腹腔镜手术的麻醉。

The Comparison of combined general-epidural anesthesia and general anesthesia on GLO

Objective： To evaluate the efficacy of combined general-epidural anesthesia and general anesthesia on Gynecologic laparoscopic operations （GLO）. Method： 40 cases of patients undergoing elective laparoscopic hysterectomy were selected and divided into two groups at random. The observation group （group A） was applied with general anesthesia tracheal intubation and the control group （group B） with general-epidural anesthesia. Monitor patients＇ heart rate and MAP after induction of anesthesia （T1）, endotracheal intubation （T2）, surgery （T3） and extubation （T4）, spontaneous breathing recovery time, extubation time, blood oxygen saturation, end-tidal CO2 pressure and consciousness time. Result：The MAP,HR of the patients were more stable in control group than that in observation group. The recovery was better in experimental group. Conclusion：Combined general-epidural anesthesia is effective and safe in Gynecologic laparoscopic operations.