CAJ | 학술논문

目的：探究与分析全麻符合硬膜外阻滞与单纯全麻对腹腔镜胆囊切除术患者各生理指标变化的影响。方法选取我院自2011年12月至2013年12月收治的行腹腔镜胆囊切除术患者68例，采取随机数字表法分为两组，观察两组患者经不同麻醉方式下各指标变化情况。结果复合麻醉组较单纯全麻组相比，于气腹后10min和拔管即刻时平均动脉压与心率明显降低（P<0.05）；复合麻醉组较单纯全麻组相比，于气腹后10min时呼末二氧化碳分压与气道压明显降低（P<0.05）。结论将全麻复合硬膜外麻醉应用于腹腔镜胆囊手术中所引起的手术应激反应较小，可作为一类较为理想的麻醉方法，值得推广。
목적：탐구여분석전마부합경막외조체여단순전마대복강경담낭절제술환자각생리지표변화적영향。방법선취아원자2011년12월지2013년12월수치적행복강경담낭절제술환자68례，채취수궤수자표법분위량조，관찰량조환자경불동마취방식하각지표변화정황。결과복합마취조교단순전마조상비，우기복후10min화발관즉각시평균동맥압여심솔명현강저（P<0.05）；복합마취조교단순전마조상비，우기복후10min시호말이양화탄분압여기도압명현강저（P<0.05）。결론장전마복합경막외마취응용우복강경담낭수술중소인기적수술응격반응교소，가작위일류교위이상적마취방법，치득추엄。
Objective: To explore and analyze the impact compliance with epidural anesthesia and general anesthesia for laparoscopic cholecystectomy physiological changes each patient. Methods: In our hospital from December 2011 to December 2013 admitted laparoscopic cholecystectomy in 68 patients, taken randomly divided into two groups, the changes were observed after each index under different anesthesia . Results: The combined anesthesia group compared with general anesthesia group compared to 10min after pneumoperitoneum and extubation when mean arterial pressure and heart rate was significantly lower (P <0.05); combined anesthesia compared to general anesthesia group than alone group, in pneumoperitoneum after 10min, end-tidal carbon dioxide partial pressure and airway pressure was significantly lower (P <0.05). Conclusion: The anesthesia combined with epidural anesthesia in laparoscopic gal bladder surgery surgical stress caused by the smal er reaction can be used as an ideal method of anesthesia class, worthy of promotion.