摘要
目的 :探讨腰麻用于妇科腹腔镜手术的可行性。方法 :妇科腹腔镜手术 12 0例 ,ASA ～ 级 ,随机分为腰麻(SA)、硬外麻 (EA)、静脉复合麻 (TIVA)及气管插管全麻 (IGA) 4组 ,对二氧化碳在体内潴留情况进行比较。结果 :SA组在鼻导管给氧的情况下 ,Pa CO2 略升高在正常值范围内 ,IGA组也在正常值 ,其它 2组 Pa CO2 升高均超过正常值 ,尤以 TIVA组升高明显。结论 :腰麻复合异丙酚镇静 ,以鼻导管给氧 ,用于妇科腹腔镜手术能避免二氧化碳蓄积 ,苏醒快 ,麻醉效果佳 ,安全可行。
Objective:To study the possibility effect of a combination of spinal anesthesia plus propofol for conscious sedation to used for gynecological laparoscopy(GL). Methods:120 GL cases,ASA Ⅰ~Ⅱclass, were randomly divided into 4 groups, spinal anesthesia plus propofp(SA group), epidural plus propofol(EA), total intravennous anesthesia(TIVA) and intubation general anesthesia(IGA).During operation to primarily observed the carbon dioxide were taken at various. Results: SA group is given the oxygen with nose pipe,and PaCO 2 were slightly go up at normal and has increased significantly difference compared other groups. Conclusions: The spinal anesthesia and propofol for sedation in gynecological laparoscopy has the advantages of good control, appropriate sedation and less hemodynamic effect and can be used clinically.
出处
《华夏医学》
2004年第6期891-893,共3页
Acta Medicinae Sinica
关键词
妇科
腹腔镜
腰麻
异丙酚
镇静
血气分析
gynecology
laparoscopy
spinal anesthesia
propofol
conscious sedation
blood gas analysis
