中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2010年
2期
172-173
,共2页
麻醉,硬膜外%麻醉,全身%腹腔镜检查%血液动力学现象
痳醉,硬膜外%痳醉,全身%腹腔鏡檢查%血液動力學現象
마취,경막외%마취,전신%복강경검사%혈액동역학현상
Anesthesia,epidural%Anesthesia,general%Laparpseopy%Hemodynamic phenomena
目的 观察硬膜外腔阻滞麻醉和全身麻醉在妇科腹腔镜手术中对患者血流动力学的影响.方法 106例妇科腹腔镜手术患者按数字表法随机分为两组:全麻组和硬膜外组各53例,分别于麻醉前、气腹后20 min、术毕放气后10 min检测两组心率、收缩压、舒张压、血氧饱和度等变化.结果 硬膜外组清醒时间(7.1±2.5)min明显快于全麻组的(20.8±6,3)min(t=2.068,P＜0.05),气腹后20 min,全麻组的心率(91±17)次/min明显快于麻醉前(t=2.593,P≤0,05),且明显高于硬膜外组(t=3.417,P＜0.05);气腹后20 min,硬膜外组的血氧饱和度较麻醉前明显下降(t=2.806,P＜0.05),且明显低于全麻组(t=3.917,P＜0.05).结论 妇科腹腔镜手术全麻并不明显优于硬膜外麻醉,但二者均应加强临床血流动力学的检测.
目的 觀察硬膜外腔阻滯痳醉和全身痳醉在婦科腹腔鏡手術中對患者血流動力學的影響.方法 106例婦科腹腔鏡手術患者按數字錶法隨機分為兩組:全痳組和硬膜外組各53例,分彆于痳醉前、氣腹後20 min、術畢放氣後10 min檢測兩組心率、收縮壓、舒張壓、血氧飽和度等變化.結果 硬膜外組清醒時間(7.1±2.5)min明顯快于全痳組的(20.8±6,3)min(t=2.068,P＜0.05),氣腹後20 min,全痳組的心率(91±17)次/min明顯快于痳醉前(t=2.593,P≤0,05),且明顯高于硬膜外組(t=3.417,P＜0.05);氣腹後20 min,硬膜外組的血氧飽和度較痳醉前明顯下降(t=2.806,P＜0.05),且明顯低于全痳組(t=3.917,P＜0.05).結論 婦科腹腔鏡手術全痳併不明顯優于硬膜外痳醉,但二者均應加彊臨床血流動力學的檢測.
목적 관찰경막외강조체마취화전신마취재부과복강경수술중대환자혈류동역학적영향.방법 106례부과복강경수술환자안수자표법수궤분위량조:전마조화경막외조각53례,분별우마취전、기복후20 min、술필방기후10 min검측량조심솔、수축압、서장압、혈양포화도등변화.결과 경막외조청성시간(7.1±2.5)min명현쾌우전마조적(20.8±6,3)min(t=2.068,P＜0.05),기복후20 min,전마조적심솔(91±17)차/min명현쾌우마취전(t=2.593,P≤0,05),차명현고우경막외조(t=3.417,P＜0.05);기복후20 min,경막외조적혈양포화도교마취전명현하강(t=2.806,P＜0.05),차명현저우전마조(t=3.917,P＜0.05).결론 부과복강경수술전마병불명현우우경막외마취,단이자균응가강림상혈류동역학적검측.
Objective To observe the effects of peridural and general anesthesia on haemodynamics in gynecological laparoscopic operation.Methods 106 patients with gynecological laparoscopic operation were randomly divided into epidural anesthesia group(n=53)and general anesthesia group(n=53)respectively.The changes of heart rate(HR),systolic blood pressure(SBP),diastolic blood pressure(DBP),SPO_2 were monitored before anesthesia,at 20min after pneumoperitoneum(pp),end of operation.Results The sober time in epidural anesthrsia geoup(7.1 ±2.5)min was significantly faster than that in general anesthesia group(20.8 ± 6.3)min(t=2.068,P＜0.05).At 20min after pp,HR in general anesthesia group(91 ±17)was significantly faster than that in ppidural anesthesia group before anesthesia(t=2.593,P＜0.05),and it was significantly higher than epidural anesthesia group(t=3.417,P＜0.05).SBP in epidural anesthesia group was singnificantly lower than before anesthesia(t=2.806,P＜0.05),and it was significantly lower than general anesthesia group(t=3.917,P＜0.05).Conclusion General anesthesia does not significantly better than epidural anesthesia in gynecological laparoscopic operation,but they should enhance the clinical monitoring of hemodynamics.
