CAJ | 학술논문

目的：对全麻复合硬膜外麻醉与单纯全麻在妇科腹腔镜手术应用的效果进行比较分析。方法选择2012年5月-2014年5月于该院妇科行腹腔镜手术的患者76例，随机分为两组，对照组38例采用单纯全麻，实验组38例采用全麻复合硬膜外麻醉，并对两组的麻醉效果进行比较与观察。结果两组患者的腹腔镜手术均顺利完成，但实验组患者的麻醉药物用药剂量、苏醒时间要少于对照组，且实验组麻醉后子宫松弛度、平均血压(MAP）、心率(HR）等指标均优于对照组，组间比较差异有统计学意义(P<0.05）。结论于妇科腹腔镜手术中采用全麻复合硬膜外麻醉方法，具有麻醉药物用量少、苏醒时间短、血流动力学平衡、麻醉效果佳等诸多优势，值得在妇科腹腔镜手术中作为首选麻醉方式。
목적：대전마복합경막외마취여단순전마재부과복강경수술응용적효과진행비교분석。방법선택2012년5월-2014년5월우해원부과행복강경수술적환자76례，수궤분위량조，대조조38례채용단순전마，실험조38례채용전마복합경막외마취，병대량조적마취효과진행비교여관찰。결과량조환자적복강경수술균순리완성，단실험조환자적마취약물용약제량、소성시간요소우대조조，차실험조마취후자궁송이도、평균혈압(MAP）、심솔(HR）등지표균우우대조조，조간비교차이유통계학의의(P<0.05）。결론우부과복강경수술중채용전마복합경막외마취방법，구유마취약물용량소、소성시간단、혈류동역학평형、마취효과가등제다우세，치득재부과복강경수술중작위수선마취방식。
Objective To compare the effects between general anesthesia combined with epidural anesthesia and simple general anesthesia used in gynecological laparoscopic surgery. Methods 76 cases underwent gynecological laparoscopic surgery in the department of gynaecology of our hospital from May 2012 to May 2014 were randomly divided into two groups. 38 cases in the control group were given simple general anesthesia, and 38 cases in the experimental group were given general anesthesia combined with epidural anesthesia. And the anesthetic effects of the two groups were observed and compared. Results All the patients underwent the laparoscopic surgery successfully. The anesthetic drug dosage used and the awakening time needed in the experimental group were less compared with those in the control group, the uterine relaxation, mean arterial pressure (MAP), heart rate (HR) and other indicators of the experimental group were superior to those of the control group, the comparison between the two groups had statistical significance (P<0.05). Conclusion General anesthesia combined with epidural anesthesia used in gynecological laparoscopic surgery has the advantages of less anesthetic drug dosage, shorter awakening time, more balanced hemodynamics, better anesthetic effect and so on, which is deserved to be the preferred way of anesthesia in gynecological laparoscopic surgery.