摘要
目的 :比较全麻联合硬膜外阻滞和单纯全麻用于腹腔镜手术的临床效果。方法 :30例拟行选择性腹腔镜手术患者随机分为全麻组 (A组 ,15例 )和全麻联合硬膜外阻滞组 (B组 ,15例 )。术中连续监测HR ,BP和气道压 ;测定患者麻醉前、气腹前、气腹后 2 0min及术毕拔除气管导管后 5min 4个时点的血糖浓度 ;观察并记录两组病人的术后唤醒时间及术后躁动发生率。结果 :与B组比较 ,A组在气腹期间和拔管时平均动脉压及HR均显著增加 (P <0 .0 5 )。气腹时两组气道压及血糖水平均有所升高 ,但A组升高较明显 (P <0 .0 5 )。B组病人术后唤醒时间短 ,躁动发生率低 ,与A组比较差异显著 (P <0 .0 5 ,P <0 .0 1)。结论 :全麻联合硬膜外阻滞较单纯全麻用于腹腔镜手术的应激反应轻 ,术后清醒快且术后躁动发生率低 ,是一较理想的麻醉方法。
Objective: To compare the clinical effect of single general anesthesia with combined general epidural anesthesia used for laparoscopic surgery.Methods:Thirty patients scheduled for select laparoscopic surgery who were randomly divided into general anesthesia group(GroupA, n =15) and general anesthesia combined with epidural block group (GroupB, n =15). HR、BP and airway pressure were continuously monitored.The concentration of blood glucose were determined at the following four time points:before anesthesia and insufflation,at 20min after pneumoperitoneum and at 5min after detubation .postoperative awakening time and postoperative restlessness were observed and recorded. Results: compared with Group B,MAP and HR were increased significantly ( P <0.05),during pneumoperitoneum and at detubation in Group A. Airway pressure and the level of blood glucose were both increased in two groups during pneumoperitoneum, but there was a obvious increase in Group A ( P <0.05).postoperative awakening time was short and the incidence of postoperative restlessness was low in Group B ,there were markedly difference between two groups ( P<0.05, P <0.01).Conclusion:General anesthesia combined with epidural block may alleviate stress response, shorten postoperative awake time and diminish the incidence of postoperative restlessness, therefore it is an ideal technique for Laparoscopic surgery.
出处
《中国临床医学》
2004年第1期100-101,104,共3页
Chinese Journal of Clinical Medicine
