硬膜外麻醉在妇科腹腔镜手术中的麻醉效果分析

摘要

Objective:To investigate the clinical study of epidural anesthesia in gynecologic laparoscopic patients application. Methods:From December 2009 to June 2010 122 patients in our hospital gynecological admitted as the research object,randomized to epidural anesthesia group (study group,n=61) and endotracheal intubation anesthesia group ( control group,n=61),grouping of the anesthesia effect research. Results:Compared with control group,the study group patients with postoperative complication rate was 4.92% (3/61),significantly lower than that of control group (χ²=3.81,P<0.05);the study group patients blood gas testing results showed that:the intraoperative blood gas level fluctuations,hemodynamic stability;compared with the control group,the study group after anesthesia recovery time significantly shorter than the control group ( P<0.05 ).Conclusion:The two kinds of anesthesia methods can be used in gynecological laparoscopic operation,in clinical application to patients operation time,disease status and premise condition appropriate anesthesia,anesthesia in respiratory and circulatory management,to reduce anesthetic complications.%　　目的：探讨研究硬膜外麻醉在临床妇科腹腔镜患者中的应用.方法：选取2009年12月-2010年6月笔者所在医院妇科收治的122例患者为研究对象,随机分为硬膜外麻醉组(研究组)与气管内插管麻醉组(对照组),每组61例,对麻醉方式的效果进行研究.结果：与对照组相比较,研究组患者术后并发症发生率为4.92%(3/61),显著低于对照组(字2=3.81,P<0.05)；研究组患者血气检测结果显示：术中血气水平波动不大,血流循环稳定；与对照组相比,研究组麻醉后苏醒时间显著短于对照组(P<0.05).结论：两种麻醉方式均可应用于妇科腹腔镜手术,在临床应用中注意根据患者手术时间、疾病状况等前提条件选择合适的麻醉方式,麻醉中做好呼吸与循环管理,以减少麻醉并发症的发生.