中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2014年
19期
88-90
,共3页
腰硬联合麻醉%丙泊酚%腔镜%腹股沟斜疝
腰硬聯閤痳醉%丙泊酚%腔鏡%腹股溝斜疝
요경연합마취%병박분%강경%복고구사산
Combined spinal and epidural anesthesia%Propofol%Laparoscopy%Indirect inguinal hernia
目的：探讨腰硬联合麻醉复合丙泊酚用于腹股沟斜疝手术的可行性。方法抽取80例于2011年10月~2013年10月在我院行腔镜下腹股沟斜疝手术的患者，美国麻醉师协会（ASA）分级Ⅰ~Ⅱ级，随机分成两组：腰硬联合麻醉复合丙泊酚组，40例（治疗组），腰硬联合麻醉复合芬太尼、氟哌利多组，40例（对照组），对比分析两组的治疗效果和不良反应的发生率。结果治疗组的术中MAP、HR、SpO2较术前有明显下降，与同期的对照组数据比较差异有统计学意义（P＜0.01），从不良反应来看，治疗组的不良反应发生率明显低于对照组，组间比较差异有统计学意义（P＜0.05）。结论腰硬联合麻醉复合丙泊酚可以安全有效地用于腔镜下腹股沟斜疝手术，同时优于芬太尼、氟哌利多，值得在临床上推广。
目的：探討腰硬聯閤痳醉複閤丙泊酚用于腹股溝斜疝手術的可行性。方法抽取80例于2011年10月~2013年10月在我院行腔鏡下腹股溝斜疝手術的患者，美國痳醉師協會（ASA）分級Ⅰ~Ⅱ級，隨機分成兩組：腰硬聯閤痳醉複閤丙泊酚組，40例（治療組），腰硬聯閤痳醉複閤芬太尼、氟哌利多組，40例（對照組），對比分析兩組的治療效果和不良反應的髮生率。結果治療組的術中MAP、HR、SpO2較術前有明顯下降，與同期的對照組數據比較差異有統計學意義（P＜0.01），從不良反應來看，治療組的不良反應髮生率明顯低于對照組，組間比較差異有統計學意義（P＜0.05）。結論腰硬聯閤痳醉複閤丙泊酚可以安全有效地用于腔鏡下腹股溝斜疝手術，同時優于芬太尼、氟哌利多，值得在臨床上推廣。
목적：탐토요경연합마취복합병박분용우복고구사산수술적가행성。방법추취80례우2011년10월~2013년10월재아원행강경하복고구사산수술적환자，미국마취사협회（ASA）분급Ⅰ~Ⅱ급，수궤분성량조：요경연합마취복합병박분조，40례（치료조），요경연합마취복합분태니、불고리다조，40례（대조조），대비분석량조적치료효과화불량반응적발생솔。결과치료조적술중MAP、HR、SpO2교술전유명현하강，여동기적대조조수거비교차이유통계학의의（P＜0.01），종불량반응래간，치료조적불량반응발생솔명현저우대조조，조간비교차이유통계학의의（P＜0.05）。결론요경연합마취복합병박분가이안전유효지용우강경하복고구사산수술，동시우우분태니、불고리다，치득재림상상추엄。
Objective To explore the feasibility of combined spinal and epidural anesthesia combined with propofol used in the surgery of indirect inguinal hernia. Methods 80 patients who received laparoscopic surgery of indirect inguinal hernia in our hospital from October 2011 to October 2013 were selected. They were classified by the American Society of Anesthesiologists(ASA) as status 1 to 2, and randomly allocated to two groups:40 patients in combined spinal and epidural anesthesia combined with propofol group (treatment group) and 40 patients in combined spinal and epidural anesthesia combined with fentanyl and droperidol (control group). Curative effect and incidence of adverse events were compared and analyzed between the two groups. Results MAP, HR and SpO2 during the surgery in the treatment group reduced significantly compared to those before the surgery, and the difference was statistically significant compared to the data in the control group during the same period (P<0.01). Incidence of adverse events in the treatment group was significantly lower than that in the control group, and the difference between the two groups was statistically significant (P < 0.05). Conclusion Combined spinal and epidural anesthesia combined with propofol is safe and effective in laparoscopic surgery of indirect inguinal hernia and is better than fentanyl and droperidol,which is worthy of clinical promotion and application.
