CAJ | 학술논문

目的探讨硬膜外阻滞复合全麻用于妇科腹腔镜手术的可行性和安全性.方法选择妇科腹腔镜手术患者72例,随机分为两组,全麻+硬膜外组(Ⅰ组)和全麻组(Ⅱ组),术中连续监测血压(Bp)、二氧化碳饱和度(HR)、心率(SpO2)变化.结果两组HR、SBP及DBP在诱导后较麻醉前均有降低,两组比较差异有统计学意义(P＜0.05).Ⅱ组气管插管时心率较Ⅰ组明显增快(P＜0.05),术中、气管拔管时Ⅰ组HR、SBP及DBP明显低于Ⅱ组,两组比较差异有统计学意义(P＜0.05).Ⅰ组在睁眼时间、拔管时间及切题回答时间方面明显短于Ⅱ组,两组比较差异均有统计学意义(P＜0.05).烦躁及寒颤发生率Ⅱ组明显高于Ⅰ组,两组比较差异均有统计学意义(P＜0.05).结论妇科腹腔镜手术采用全麻复合硬膜外阻滞麻醉效果确切,不良反应少.
목적 탐토경막외조체복합전마용우부과복강경수술적가행성화안전성.방법 선택부과복강경수술환자72례,수궤분위량조,전마+경막외조(Ⅰ조)화전마조(Ⅱ조),술중련속감측혈압(Bp)、이양화탄포화도(HR)、심솔(SpO2)변화.결과 량조HR、SBP급DBP재유도후교마취전균유강저,량조비교차이유통계학의의(P＜0.05).Ⅱ조기관삽관시심솔교Ⅰ조명현증쾌(P＜0.05),술중、기관발관시Ⅰ조HR、SBP급DBP명현저우Ⅱ조,량조비교차이유통계학의의(P＜0.05).Ⅰ조재정안시간、발관시간급절제회답시간방면명현단우Ⅱ조,량조비교차이균유통계학의의(P＜0.05).번조급한전발생솔Ⅱ조명현고우Ⅰ조,량조비교차이균유통계학의의(P＜0.05).결론 부과복강경수술채용전마복합경막외조체마취효과학절,불량반응소.
Objective To explore the feasibility and safety of epidural block with general anesthesia in gynecologic laparoscopic operation.Methods 72 patients were divided randomly into two groups:the epidural block with general anesthesia group(Ⅰ group)and the general anesthesia(Ⅱgroup).All patients were monitored continuously for the changes of Bp,HR and SpO2 during the operation.Results The HR,SBP and DBP of two groups after inductions were lower than those before anesthesia,and there were significant differences(P＜0.05).The HR of Ⅱ group was quicker than that of Ⅰ group in the time of lifesaver(P＜0.05).The HR,SBP and DBP of Ⅰ group were lower than that of Ⅱ group in the time of operation and extubation(P＜0.05).The times of eyes open,extubation and answering the question correctly in Ⅰ group were shorter than those in Ⅱ group,and there were significant differences(P＜0.05).And the incidence rates of restlessness and shivering in Ⅰ group were higher than those in Ⅱ group,and there were significant differences,(P＜0.05).Conclusion Epidural block with general anesthesia in gynecologic laparoscopic operation is effective,and the adverse effects is fewer.