摘要
目的比较高血压患者腹腔镜全子宫切除术中应用不同麻醉方法的效果。方法选取笔者所在医院2009年5月～2012年3月收治的120例行腹腔镜全子宫切除术的高血压患者作为研究对象，按照随机数字表法随机分为A组和B组，A组患者采用全麻复合硬膜外麻醉，B组患者采用单纯全麻，比较两组患者术中心率、血压、拔管时间、自主呼吸恢复时间等情况。结果两组患者心率、收缩压、舒张压在Tn、T1时差异无统计学意义（P〉0．05），但T2、T1、T。时各项指标差异均有统计学意义（P〈0．01）。两组拔管时间、自主呼吸恢复时间比较差异均有统计学意义（t拔管：7．124，t呼％=6．238，P〈．01）。结论高血压患者腹腔镜全子宫切除术中应用全麻复合硬膜外麻可以减少生命体征波动、缩短术后拔管及自主呼吸恢复时间，具有较高的安全性，值得推广应用。
Objective To compare the effect of different anesthesia methods in the laparoscopic panhysterectomy for hypertensive patients. Methods A total of 120 hypertensive patients admitted to and treated in our hospital from May 2009 to March 2012 receiving laparoscopic panhysterectomy were selected as the study subjects and randomly divided into group A and group B according to the random number table. Group A was given general anesthesia combined with epidural anesthesia and group B was given simple general anesthesia. The intraoperative heart rate,blood pressure,extubation time,spontaneous breathing recovery time and others were compared between the two groups. Results At To and Tt,the two groups were not significantly different in the heart rate,systolic blood pressure and diastolic blood pressure （P 〉 0.05）,but at T2,T3 and T4,the above indicators were significantly different （P 〈 0.01）, with a statistically significance. The two groups were significantly different in the extubation time and spontaneous breathing recovery time,with statistical significance. Conclusion The general anesthesia combined with epidural anesthesia in the laparoscopic panhysterectomy for hypertensive patients can reduce the fluctuation of vital signs and shorten the postoperative extubation time and spontaneous breathing recovery time,and shows higher safety,thus should be widely promoted and applied.
出处
《中国医药科学》
2013年第2期108-109,共2页
China Medicine And Pharmacy
基金
广东省江门市第七批科技计划项目(201211301)
关键词
全麻复合硬膜外麻醉
高血压
腹腔镜
全子宫切除术
General anesthesia combined with epidural anesthesia
Hypertension
Laparoseopy
Panhysterectomy
