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不同麻醉方案对腹腔镜胆囊切除术患者应激反应的影响 被引量:4

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摘要 目的探讨硬膜外复合全麻对腹腔镜胆囊切除术患者应激反应的影响。方法将84例腹腔镜胆囊切除术患者随机分为观察组和对照组各42例,观察组给予硬膜外复合全麻,对照组给予单一全麻,观察两组患者应激反应情况。结果两组患者气腹后30min及放气后Glu、CRP水平均明显高于麻醉前(P<0.05);观察组麻醉后各阶段Cor水平与麻醉前比较无显著差异;对照组气腹后30min及放气后Cor水平明显高于麻醉前(P<0.05);对照组气腹后30min及放气后Glu、CRP、Cor水平均明显高于观察组(P<0.05)。结论硬膜外复合全麻应用于腹腔镜胆囊切除术中,不仅有着较好的麻醉效果,同时可减轻手术期间机体所产生的应激反应,可作为目前腹腔镜胆囊切除术的一种较佳麻醉方案。
作者 胡洪
出处 《中国医药指南》 2012年第36期210-211,共2页 Guide of China Medicine
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