摘要
目的 比较硬膜外阻滞复合吸入全麻与单纯吸入全麻在腹腔镜胆囊切除术中的应用差别。方法 选择ASA Ⅰ～Ⅱ级拟行腹腔镜胆囊切除术的患者20例,随机分为两组:硬膜外阻滞复合吸入全麻组(Ⅰ组,n=10)和单纯吸入全麻组(Ⅱ组,n=10)。观察术中血压、心率、吸入全麻药浓度及麻醉苏醒时间的变化。结果 麻醉诱导前BP、HR两组间无显著性差异(P>0.01)。Ⅱ组人工气腹后BP、HR较人工气腹前均显著增高(P<0.01),且与Ⅰ组相比有显著性差异(P>0.01)。氨氟醚浓度Ⅰ组显著低于Ⅱ组(P<0.01)。麻醉苏醒时间Ⅰ组显著低于Ⅱ组(P<0.01)。结论 人工气腹可导致应激反应,与单纯吸入全麻相比,硬膜外阻滞复合吸入全麻能减轻此时的应激反应,并减少吸入全麻药的用量并缩短麻醉苏醒时间,比单纯吸入全麻要好。
Objective To compare the effect of enflurane general anesthesia with combined epi-
dural-general anesthesia on cardiovascular hemodynamic responses and anesthetic recovery
during laparoscopic cholecystectomy(LC). Methods twenty ASA Ⅰ～Ⅱ patients undergoing LC
were randomly divided into enflurane general anesthesia group(group Ⅰ,n=10) and enflurane
general anesthesia combined with epidural anesthesia group(group Ⅱ,n=10). The blood pres-
sure(BP), heart rate(HR) and end-tidal concentration of enflurane(ENet%) were continu-
ously monitored intraoperatively. The time of anesthetic recovery was evaluated in both groups.
Results There were no significant difference of BP and HR between two groups preoperatively.
BP and HR were increased significantly during pneumoperitoneum in group Ⅱ, and had signifi-
cant difference between the two groups. The average ENet% and the anesthetic recovery time
in group Ⅱ were significantly lower than that in group Ⅰ. Conclusion Compared with the enflu-
rane general anesthesia, the enflurane general anesthesia combined with epidural anesthesia
can not only alleviate the stress responses caused by pneumoperitoneum during LC, but the
combined anesthesia can reduce the dose of enflurane and shorten the time of anesthetic re-
covery and is better than the enflurane general anesthesia.
出处
《湖北民族学院学报（医学版）》
2004年第2期17-19,共3页
Journal of Hubei Minzu University(Medical Edition)
关键词
麻醉
硬膜外
麻醉
全身麻醉
腹腔镜胆囊切除术
人工气腹
Anesthesia
epidural
Anesthesia
general
Laparoscopic cholecystectomy,pneumoperitoneum
