国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2011年
11期
1322-1324
,共3页
腹腔镜%胆囊切除术%全麻%硬膜外阻滞
腹腔鏡%膽囊切除術%全痳%硬膜外阻滯
복강경%담낭절제술%전마%경막외조체
Peritoneoscopy%Cholecystectomy%General anesthesia%Epidural blockade
目的 比较硬膜外阻滞与全麻在腹腔镜胆囊切除术中的效果.方法 选择ASAI～Ⅱ级择期行腹腔镜胆囊切除术的患者50例,随机分为对照组和观察组,每组各25例;观察组采用全身麻醉方法,对照组采用硬膜外阻滞.观察并记录两组气腹前、后的收缩压(SBP)、舒张压(DBP)、心率(HR)、脉搏氧饱和度(SPO2)以及观察呼气末CO2浓度(PETCO2)的变化.结果 对照组气腹后15 min,SBP、DBP、HR均有所下降,观察组则有轻微的上升,两组比较差异有统计学意义(P<0.01);观察组PETCO2明显上升.结论 气管内插管全麻用于腹腔镜胆囊切除术优于硬膜外阻滞.
目的 比較硬膜外阻滯與全痳在腹腔鏡膽囊切除術中的效果.方法 選擇ASAI～Ⅱ級擇期行腹腔鏡膽囊切除術的患者50例,隨機分為對照組和觀察組,每組各25例;觀察組採用全身痳醉方法,對照組採用硬膜外阻滯.觀察併記錄兩組氣腹前、後的收縮壓(SBP)、舒張壓(DBP)、心率(HR)、脈搏氧飽和度(SPO2)以及觀察呼氣末CO2濃度(PETCO2)的變化.結果 對照組氣腹後15 min,SBP、DBP、HR均有所下降,觀察組則有輕微的上升,兩組比較差異有統計學意義(P<0.01);觀察組PETCO2明顯上升.結論 氣管內插管全痳用于腹腔鏡膽囊切除術優于硬膜外阻滯.
목적 비교경막외조체여전마재복강경담낭절제술중적효과.방법 선택ASAI～Ⅱ급택기행복강경담낭절제술적환자50례,수궤분위대조조화관찰조,매조각25례;관찰조채용전신마취방법,대조조채용경막외조체.관찰병기록량조기복전、후적수축압(SBP)、서장압(DBP)、심솔(HR)、맥박양포화도(SPO2)이급관찰호기말CO2농도(PETCO2)적변화.결과 대조조기복후15 min,SBP、DBP、HR균유소하강,관찰조칙유경미적상승,량조비교차이유통계학의의(P<0.01);관찰조PETCO2명현상승.결론 기관내삽관전마용우복강경담낭절제술우우경막외조체.
Objective To compare the efficacy of epidural blockade with that of general anesthesia in laparoscopic cholecystectomy. Methods 50 ASA Ⅰ-Ⅱ patients scheduled for elective laparoscopic cholecystectomy were randomly assigned to receive general anesthesia ( 25 patients, control group ), or epidural blockade( 25 patients, study group ). Systolic blood pressure( SBP ), diastolic pressure( DBP), heart rate ( HR ), and SpO2 were observed in the two groups before and after the formation of artificial pneumoperitoneum. The changes in PETCO2 were observed in the study group. Results 15 minutes after the formation of pneumoperitoneum, SBP, DBP, and HR were declined in the control group, while they were slightly elevated in the study group there was a statistical difference between the two group ( P < 0. 01 ). PETCO2 was notably increased in the study group. Conclusions General anesthesia is superior to epidural blockade in laparoscopic cholecystectomy.
