硬膜外复合全身麻醉在妇科腹腔镜手术中的应用效果

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Abstract Objective To explore the effect of epidural combined with general anesthesia in gynecological laparoscopic surgery.Methods A total of 62 cases of patients who underwent gynecological laparoscopic surgery in our hospital from February 2017 to February 2018 were selected as objects.According to the principle of random equality,they were divided into the control group (n=31)and the study group (n=31).The control group was given general anesthesia,and the study group was given epidural combined with general anesthesia.Hemodynamic indexes,anesthesia recovery and postoperative restlessness were compared between two groups.Results The heart rate after induction of anesthesia in two groups were lower than those before induction,and the differences were statistically significant(P＜0.05).The heart rate after 10 min of pneumoperitoneum and the operation in the study group were lower than those before anesthesia induction,the heart rate after 10 min of pneumoperitoneum and the operation in the control group were higher than those before anesthesia induction,and the differences were statistically significant(P＜0.05).The heart rate after induction of anesthesia in the study group was higher than that in the control group,the heart rate after 10 min of pneumoperitoneum and the operation were lower than those in the control group,and the differences were statistically significant(P＜0.05).The mean arterial pressure after induction of anesthesia and after 10 min of pneumoperitoneum in two groups were lower than those before anesthesia induction,and the differences were statistically significant(P＜0.05).The mean arterial pressure after the operation in the study group was lower than that before induction,the mean arterial pressure after the operation in the control group was higher than that before induction,and the differences were statistically significant(P＜0.05).The mean arterial pressure after induction of anesthesia in the study group was higher than that in the control group,the mean arterial pressure after 10 min of pneumoperitoneum and the operation were lower than those in the control group,and the differences were statistically significant(P＜0.05).The operation time,recovery time and extubation time of the study group were shorter than those of the control group,and the differences were statistically significant(P＜0.05).There was no significant difference in the incidence of restlessness between the study group(3.23%[1/31])and the control group(6.45%[2/31])(P＞0.05).ConclusionThe application of epidural combined with general anesthesia in gynecological laparoscopic surgery can stabilize the hemodynamics and improve the recovery effect of anesthesia,which is worthy of clinical promotion and application.

Key words： Gynecological laparoscopic surgery Epidural combined general anesthesia Anesthesia Hemodynamics Restlessness

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	Articles by authors
	YANG Yan
	ZHU Zhi-dong
	LI Wei-bin
	YU Su-ting

Cite this article:

YANG Yan,ZHU Zhi-dong,LI Wei-bin, et al. Application of epidural combined with general anesthesia in gynecological laparoscopic surgery[J]. 中国当代医药, 2018, 25(27): 80-82.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I27/80

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