腹股沟疝患者采用腹腔镜手术治疗中静吸复合全身麻醉与腰硬联合麻醉的对比研究  

Study on effect of combined intravenous and inhalation general anesthesia or combined spinal epidural anesthesia in laparoscopic operation for inguinal hernia

作　　者：钱建学 须挺[2] 

机构地区：[1]苏州市中西医结合医院麻醉科 [2]苏州大学附属第一医院麻醉科,江苏苏州215101

出　　处：《临床和实验医学杂志》2015年第9期778-780,共3页Journal of Clinical and Experimental Medicine

摘　　要：目的对比静吸复合全身麻醉和腰硬联合麻醉在腹股沟疝腹腔镜手术治疗的麻醉效果。方法选取需进行腹腔镜手术治疗的腹股沟疝患者80例,其中应用腰硬联合麻醉患者40例作为观察组,应用静吸复合全身麻醉40例作为对照组,观察两组麻醉效果。结果 1观察组患者Ramsay评分为I级患者明显少于对照组,而II^IV级患者明显多于对照组,差异有统计学意义(P<0.05);2观察组患者麻醉起效时间、清醒时间明显低于对照组,差异有统计学意义(P<0.05)。结论硬联合麻醉对腹腔镜手术腹股沟疝患者麻醉效果好,起效时间短,术后清醒快,值得在临床上推广应用。Objective To compare the effect of combined intravenous and inhalation general anesthesia and combined spinal epidural an-esthesia applied in laparoscopic operation for treatment of patients with inguinal hernia. Methods Eighty patients with inguinal hernia were trea-ted with laparoscopic operation,the application of combined spinal and epidural anesthesia in 40 patients as observation group,and application of combined intravenous and inhalation general anesthesia in 40 cases as control group,and the effect of anesthesia in these two groups had been com-pared. Results The Ramsay scores of patients with grade I in observation group were significantly lower than those of control group,and Ramsay scores in patients with grades II - IV in observation group were significantly higher than those of control group,and the difference was statistically significant（ P 〈 0. 05）. The onset time of anesthesia and awake time in patients of observation group were lower than those of patients in control group,and the difference was statistically significant（ P 〈 0. 05）. Conclusion Epidural anesthesia is good in laparoscopic operation for patients with inguinal hernia,with short onset time and shorter awake time,hence it is worthy for clinical application.

关 键 词：腹股沟疝 静吸复合全身麻醉 腰硬联合麻醉 RAMSAY评分 

分 类 号：R614[医药卫生—麻醉学]