腰-硬联合阻滞复合浅全麻与插管全麻用于妇科腹腔镜手术中的效果  

Effect of Lumbar-hard Combined Block Combined with Shallow General Anesthesia and Intubation for General Anesthesia in Gynecological Laparoscopic Surgery

作　　者：周媛 高爱敏 ZHOU Yuan;GAO Ai-min(Department of Anesthesiology,the Second Affiliated Hospital of Xiamen Medical College,Xiamen,Fujian Province,361021 China)

机构地区：[1]厦门医学院附属第二医院麻醉科,福建厦门361021

出　　处：《中外医疗》2018年第27期102-104,共3页China & Foreign Medical Treatment

摘　　要：目的探讨分析腰-硬联合阻滞复合浅全麻与插管全麻用于妇科腹腔镜手术中的效果。方法回顾性分析于2016年1月—2017年1月期间于该院行妇科腹腔镜手术治疗的患者80例作为该次研究对象,按照患者在术中不同麻醉方法均分为对照组和观察组两组,各40例。对照组患者行插管全身麻醉,观察组患者则行腰-硬联合阻滞复合浅全麻。对比分析两组患者气腹前、以及气腹后不同时间段的BR、HR、RR、SpO2、CO2,与此同时观察记录患者的术后苏醒情况及麻醉反应。结果观察组患者在建CO2气腹之后,RR指标明显增快,SpO2的水平指标变化相较气腹前差异无统计学意义(P>0.05);在排气10 min之后,各项指标相较气腹前差异有统计学意义(P<0.05);观察组患者苏醒时间(4.6±1.8)h,相较对照组患者明显苏醒较快,差异有统计学意义(t=8.126,P<0.05)。结论通过在行妇科腹腔镜手术治疗过程中,行腰-硬联合阻滞复合浅全麻,能够相较行插管全麻,可以更好的对患者自身机体所产生的有关应激反应进行控制,并且减少了患者的麻醉苏醒时间,在临床中应用效果较佳、较为实用,具有临床推广意义。Objective To investigate the effect of combined lumbar-hard block combined with general anesthesia and general anesthesia for gynecological laparoscopic surgery. Methods A retrospective analysis of 80 patients who underwent gynecologic laparoscopic surgery in the hospital from January 2016 to January 2017 was included in the study. According to the different anesthesia methods, the patients were divided into the control group and the observation group. 40 cases in each. Patients in the control group underwent general anesthesia in the intubation, and patients in the observation group underwent lumbar-hard combined block combined with shallow general anesthesia. The BR, HR, RR, SpO2, and CO2 in the two groups were compared before and after pneumoperitoneum. At the same time, the postoperative recovery and anesthesia response were recorded. Results After the CO2 pneumoperitoneum was established in the observation group, the RR index increased significantly. There was no significant difference in the level of SpO2 between the two groups （P〉0.05）. After the exhaust 10 min, the indicators were more different before ventral was statistically significant （P〈0.05）; the recovery time of the observation group was （4.6±1.8） h, which was significantly faster than that of the control group,the difference was statisti- cally signficant（t=8.126, P〈0.05）. Conclusion Through the treatment of gynecological laparoscopic surgery, the combination of lumbar-hard combined block and shallow general anesthesia can better control the related stress response of the patient＇s own body compared with general anesthesia and reduce the patient＇s anesthesia recovery time, the application in the clinical effect is better, more practical, and has clinical significance.

关 键 词：腰-硬联合阻滞复合浅全麻 插管全麻 腹腔镜手术 

分 类 号：R614.2[医药卫生—麻醉学]