摘要
目的评价全麻复合硬膜外麻醉在腹腔镜子宫切除术中的临床应用。方法40例ASAⅠ～Ⅱ级择期腹腔镜子宫切除术的患者,随机分为A组和B组。A组为全麻复合硬膜外麻醉组,B组为单纯全麻组。分别观察麻醉期间的血流动力学变化及全麻用药量。结果两组患者麻醉期各时段HR、MAP变化A组均较B组小且平稳。A组全麻用药量明显小于B组(P<0·01)。结论全麻复合硬膜外麻醉用于腹腔镜子宫切除术较单纯应用全身麻醉,全麻用药量明显减少,循环呼吸功能平稳,术毕苏醒拔管早,且便于术后镇痛,是此类手术的最佳选择。
Objective To evaluate the safety and efficacy of hysterectomy by abdominoscope under general combined with epidural anesthesia. Methods Forty ASA Ⅰ～Ⅱ patients scheduled for selective hysterectomy by abdominoscope were randomly divided into two groups： group A and group B. Group A received general combined with epidural anesthesia and group B received general anesthe- sia only. Hemodynamics changes and anesthetic doses were observed preoperation, perioperation and postoperation. Results The changes of HR, MAP were lower than that of group B. The anesthesia doses of group A were significantly lower than that of group B （P 〈 0. 01 ）. Conclusion Comparing to general anesthesia, general combined and epidural anesthesia can signficantly reduce the anesthesia doses and have no significant reverse effect on circulation and respiratory. So general combined and epidural anesthesia is the best choice for hysterectomy by abdominoscope.
出处
《医药论坛杂志》
2007年第15期15-16,共2页
Journal of Medical Forum
关键词
全麻复合硬膜外麻醉
腹腔镜子宫切除术
观察
General combined and epidural anesthesia
Hysterectomy by abdominoscope
Observation
