摘要
目的观察硬膜外阻滞与气管插管静吸复合全麻在腹腔镜胆囊切除手术麻醉中的应用,比较其优缺点。方法将104例腹腔镜胆囊切除手术的麻醉随机分为连续硬膜外阻滞组(C组,68例)与气管插管全麻组(G组,46例),观察了患者术中心率、血压、SpO2、PaCO2变化。结果C组术中心率、血压、SpO2波动明显;PaCO2明显高于G组。结论两种麻醉方法均能完全用于腹腔镜胆囊切除手术,但气管插管静脉吸入麻醉更为适宜。
Objective To observe the difference of continuous epidural anesthesia （ CEA ） and tracheal intubation general anaesthesia （GA） in laparoscopic cholecystectomy. Methods 104 cases which need to excise gallbladder by peritoneoscope were allocate to CEA group （C group, 68 cases）and GA group （G group,46 cases）randomly, and observed the changes of heart rate （HR）, blood pressure （BP） , SpO2, PaCO2 in operation. Results HR, BP, SpO2 were all fluctuation markedly and PaCO2 was increased obviously in C group. Conclusion The tracheal intubation general anaesthesia was suitable better choice in laparoscopic cholecystectomy than CEA.
出处
《四川医学》
CAS
2009年第6期937-939,共3页
Sichuan Medical Journal
关键词
腹腔镜手术
硬膜外麻醉
气管插管全麻
CO2气腹
laparoscopic operation
epidural anesthesia
general anaesthesia
CO2 aeroperitoneum
