不同麻醉方法对腹腔镜子宫切除术患者应激反应的影响被引量：29

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摘要目的观察不同麻醉方法对腹腔镜子宫切除术患者应激反应的影响.方法选择行腹腔镜子宫切除术患者45例,随机分为3组：硬膜外麻醉组（A组）、全麻组（B组）、全麻复合硬膜外阻滞组（C组）各15例,于麻醉前10 min（T0）、气腹后10 min（T1）、气腹后40 min（T2）和术后10 min（T3）四个时间点,采集静脉血测定血糖（GLU）、皮质醇（COR）和儿茶酚胺（CA）浓度,并观察PETCO2、SPO2及血流动力学变化.结果与T0相比,A组T1时MAP、HR显著下降（P＜0.05）,B组T1、T2时MAP、HR、GLU、COR和CA明显升高（P＜0.05）,C组各时点MAP、HR、GLU、COR和CA差异无统计学意义（P＞0.05）;组间相比,C组各时点MAP、HR、GLU、COR和CA显著低于B组（P＜0.05）.结论全麻复合硬膜外阻滞能有效地调控腹腔镜子宫切除术患者的应激反应.

作者周颖李振英刘浩东祖正儒

机构地区宝鸡市妇幼保健院麻醉科宝鸡市妇幼保健院内科中国人民解放军第三医院麻醉科

出处《中国医师杂志》 CAS 2010年第9期1208-1210,共3页 Journal of Chinese Physician

关键词麻醉/方法麻醉全身麻醉硬膜外腹腔镜检查子宫切除术/副作用应激/预防和控制

分类号 R614 [医药卫生—麻醉学]

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