椎管内麻醉在妇科腹腔镜手术的应用  

Intrathecal Anesthesia Used in Genacate Operations by Laparoscopy

作　　者：李斌[1] 冯兆芹[1] 刘慧丽[1] 郝步伟[2] 

机构地区：[1]新泰市人民医院,山东新泰271200 [2]山东中医药大学附属医院

出　　处：《菏泽医学专科学校学报》2000年第1期26-27,共2页Journal of Heze Medical College

摘　　要：目的　比较腰麻与硬膜外麻醉在妇科腹腔镜手术的应用。方法　 10 0例妇科腹腔镜手术病人 ,随机分为两组 ,每组 50例。A组 (腰麻 ) :选L2～ 3注 0 .5%重比重布比卡因 ;B组 (硬膜外 ) :选T12 L1注 2 %利多卡因。结果　两组起效时间、阻滞完善时间对比有显著性差异 (P <0 .0 1) ,麻醉效果达优良级无显著性差异 (P>0 .0 5) ,SPO2 均在 96%～ 99% ,PETCO2 3 .2～ 6.0kPa ,气腹前后有差异 ,气腹后PETCO2 出现下降 ,且呼吸频率明显增快 3～ 6次 /min ,术后腰麻引起头痛 3例。结论　椎管内麻醉应用于妇科腹腔镜手术能达满意麻醉效果且安全 ,腰麻适用于年轻、体质较好、手术时间短的病人 ,而硬膜外麻醉平面和作用时间易控制 。Objective To compare the effect of EA and SA during genacate operations by Laparoscopy. Methods 100 patients undergoing genacate operations were randomly divided into two groups Group A: sipinal anesthesia with 0. 5% Bupicacaine; Group B: epidural blockade with 2% Lidocaine. Results Onset time of anesthesia and the time to reach the peak anesthesia in group A were much shorter than the times in group B (P<0.01).There was no significant difference in clinical effect between two groups (P>0.05), SPO 2 changed little (96%～ 99%) , then PETCO 2 dropped and respiration became more rapidly. After operations headche occurred in three patients. Conclusion EA and SA can be used safely and satisfactorily in operations by Laparoscopy.All these are of great value in fundmental hospitals.

关 键 词：妇科 腹腔镜 椎管内麻醉 

分 类 号：R713.1[医药卫生—妇产科学] R614.42[医药卫生—临床医学]