麻醉给药方式对腹腔镜手术后患者疼痛及麻醉复苏影响  

The Effect of Anesthetic Administration on Pain and Anesthesia Resuscitation in Patients After Laparoscopic Surgery

作　　者：周建军[1] ZHOU Jianjun(Department of Anesthesiology,Xiantao First People's Hospital,Xiantao Hubei 433000,China)

机构地区：[1]湖北省仙桃市第一人民医院麻醉科,湖北仙桃433000

出　　处：《中国继续医学教育》2018年第13期38-39,共2页China Continuing Medical Education

摘　　要：目的研究和分析不同麻醉给药方式对腹腔镜手术患者术后疼痛及麻醉复苏的影响。方法选取2016年12月—2017年12月在我院接受治疗的100例腹腔镜手术患者作为研究对象,并采取随机的方式,将入选对象均分为研究组和对照组,每组各50例,对照组患者给予插管全麻的给药方式,观察组患者给予腰硬联合阻滞复合浅全麻的给药方式。对两组患者各时期的心率(HR)水平、平均动脉压(MAP)水平、VAS评分、Ramsay评分镇痛药物使用率以及不良反应出现情况进行对比。结果经过对比发现,观察组在手术结束之后的1 h内的HR水平和MAP水平均优于对照组,两组数据对比,差异具有统计学意义(P<0.05);观察组的VAS评分和Ramsay评分均优于对照组,两组数据对比,差异具有统计学意义(P<0.05);观察组在凯芬镇痛剂使用率方面低于对照组,两组数据对比,差异具有统计学意义(P<0.05);观察组在不良反应出现率方面低于对照组,两组数据对比,差异具有统计学意义(P<0.05)。结论对腹腔镜手术患者采取腰硬联合阻滞复合浅全麻的给药方式能够在患者术后疼痛及麻醉复苏方面取得良好的效果。Objective To study and analyze the effects of different anesthetic methods on postoperative pain and anesthesia resuscitation in patients with laparoscopic surgery.Methods 100 cases of patients undergoing laparoscopic surgery from December 2016 to December 2017 in our hospital as the research objects,In a randomized way,the subjects were equally divided into the study group and the control group,50 cases in each group.The control group was given anesthesia medication,the observation group was given combined spinal epidural anesthesia combined with general anesthesia the mode of administration.The heart rate(HR)level,mean arterial pressure(MAP)level,VAS score,Ramsay score,analgesic drug usage rate and adverse reactions were compared between the two groups.Results It was found that the level of HR and MAP in the 1 h of the observation group were better than those in the control group,and the difference between the two groups was statistically significant(P<0.05).The VAS score and Ramsay score of the observation group were better than those of the control group.The difference between the two groups was statistically significant(P<0.05).The usage rate of analgesic in the observation group was lower than that in the control group.The difference between the two groups was statistically significant(P<0.05).The incidence of adverse reactions in the observation group was lower than that in the control group.The difference between the two groups was statistically significant(P<0.05).Conclusion The combination of combined spinal epidural anesthesia and general anesthesia for patients undergoing laparoscopic surgery can achieve good results in postoperative pain and recovery of hemp and ash.

关 键 词：腰硬联合阻滞复合浅全麻 插管全麻 腹腔镜手术 术后麻醉 术后疼痛 

分 类 号：R614[医药卫生—麻醉学]