Objective: to investigate the effect of general anesthesia combined with epidural anesthesia during laparoscopic gynecological surgery on hemodynamic indexes of patients. Methods: a total of 180 patients treated with ...Objective: to investigate the effect of general anesthesia combined with epidural anesthesia during laparoscopic gynecological surgery on hemodynamic indexes of patients. Methods: a total of 180 patients treated with gynecological laparoscopic surgery in Xinzhou Peoples Hospital from January to December 2022 were extracted The observation objects, according to the hospital group specifications, were divided into control group and observation group, each group was extracted according to the number of 90 cases, and laparoscopic treatment was carried out, in terms of anesthesia selection, the control group selected single general anesthesia for surgery, the observation group combined with epidural anesthesia on the basis of the anesthesia of the previous group, and the 6 index observations during anesthesia in the two groups were included in statistical data analysis, namely hemodynamic indexes, clinical medical index and scores, adverse reactions after medication, muscle relaxation, traction reactions, and actual effects of anesthesia. Results: before the application of narcotic drugs, no significant difference in hemodynamic indexes between the two groups was detected (P>0.05). After the administration of narcotic drugs, the ratio of the measured index values in the observation group to the control group was statistically significant (P<0.05). After anesthesia administration in the two groups, the observation group had shorter onset time, longer analgesic time and exercise recovery time, and higher Bromage exercise score, but there was no significant difference between the observation group and the control group (P>0.05). The prevalence of various adverse reactions after anesthesia in the observation group showed a lower level (P<0.05). After the observation group, the rate of muscle relaxation was higher (P<0.05). After anesthesia administration in the observation group, the proportion of 0 samples of traction reaction was higher (P<0.05). The overall excellent rate of the anesthesiologists in the observation group evaluated the actual effect of this anesthesia medication was higher than that of the control group (P<0.05). Conclusion: the synergy of general anesthesia and epidural anesthesia in the treatment of gynecological laparoscopic surgery can improve the actual effect of anesthesia, reduce the adverse reactions of patients after anesthesia, improve muscle relaxation and traction response, and ensure the smooth completion of surgery.展开更多
文摘Objective: to investigate the effect of general anesthesia combined with epidural anesthesia during laparoscopic gynecological surgery on hemodynamic indexes of patients. Methods: a total of 180 patients treated with gynecological laparoscopic surgery in Xinzhou Peoples Hospital from January to December 2022 were extracted The observation objects, according to the hospital group specifications, were divided into control group and observation group, each group was extracted according to the number of 90 cases, and laparoscopic treatment was carried out, in terms of anesthesia selection, the control group selected single general anesthesia for surgery, the observation group combined with epidural anesthesia on the basis of the anesthesia of the previous group, and the 6 index observations during anesthesia in the two groups were included in statistical data analysis, namely hemodynamic indexes, clinical medical index and scores, adverse reactions after medication, muscle relaxation, traction reactions, and actual effects of anesthesia. Results: before the application of narcotic drugs, no significant difference in hemodynamic indexes between the two groups was detected (P>0.05). After the administration of narcotic drugs, the ratio of the measured index values in the observation group to the control group was statistically significant (P<0.05). After anesthesia administration in the two groups, the observation group had shorter onset time, longer analgesic time and exercise recovery time, and higher Bromage exercise score, but there was no significant difference between the observation group and the control group (P>0.05). The prevalence of various adverse reactions after anesthesia in the observation group showed a lower level (P<0.05). After the observation group, the rate of muscle relaxation was higher (P<0.05). After anesthesia administration in the observation group, the proportion of 0 samples of traction reaction was higher (P<0.05). The overall excellent rate of the anesthesiologists in the observation group evaluated the actual effect of this anesthesia medication was higher than that of the control group (P<0.05). Conclusion: the synergy of general anesthesia and epidural anesthesia in the treatment of gynecological laparoscopic surgery can improve the actual effect of anesthesia, reduce the adverse reactions of patients after anesthesia, improve muscle relaxation and traction response, and ensure the smooth completion of surgery.
