电视胸腔镜手术治疗自发性气胸50例的麻醉处理分析  

Video-assisted Thoracoscopic Surgery Anesthesia Processing Analysis of 50 Cases of Spontaneous Pneumothorax

作　　者：张华 旷艳春 刘海生 

机构地区：[1]解放军第一六九医院麻醉科,湖南衡阳421000 [2]解放军第一九八医院麻醉科,湖南郴州423000

出　　处：《中外医疗》2014年第6期16-17,共2页China & Foreign Medical Treatment

摘　　要：目的分析电视胸腔镜手术治疗自发性气胸疾病的麻醉处理。方法选取自发性气胸患者50例作为研究对象,划分为观察组、对照组,均行电视胸腔镜手术治疗。观察组局部麻醉,对照组全身麻醉。对两组患者麻醉效果以及血流动力学情况进行对比。结果两组麻醉阻滞起效时间、手术持续时间,术前、术后10 min血流动力学指标对比差异无统计学意义(P>0.05)。术中血流动力学指标方面,观察组波动明显低于对照组,数据对比存在,差异有统计学意义(P<0.05)。结论局部麻醉效果与全身麻醉相当,且血流动力学指标波动更小,安全性高,值得临床进一步推广。Objective To analyze the anesthetic treatment of spontaneous pneumothorax during video-assisted thoracoscopic surgery. Methods 50 patients with spontaneous pneumothorax were selected as the subjects. And they were divided into the obser- vation group and the control group, all underwent video-assisted thoracoscopic surgery. The observation group was given local anesthesia, and the control group was given general anesthesia. The anesthetic effect and hemodynamics were compared between the two groups. Results The differences between two groups in anesthesia block onset time, duration of operation time and bemody- namics indexes 10min before and after the operation were not statistically significant（P〉0.05）. The fluctuation of hemodynamics in- dexes of the observation group was obviously lower than that of the control group, the difference was statistically significant （P〈 0.05）. Conclusion The effect of local anesthesia is similar to that of general anesthesia with smaller bemodynamics fluctuation and higher security, which is worthy of further promotion in clinical practice.

关 键 词：电视胸腔镜 自发性气胸 麻醉 

分 类 号：R655[医药卫生—外科学]