艾司洛尔在妇科腹腔镜手术中的麻醉安全研究

发布时间：2018-10-11 11:47

【摘要】：目的:探讨艾司洛尔应用于妇科腹腔镜手术的麻醉效果。方法:将纳入研究的60例行妇科腹腔镜手术患者随机分为实验组(30例)和对照组(30例),所有患者均采用静脉全麻,实验组气腹后给予艾司洛尔,对照组注入生理盐水。比较两组麻醉诱导前、气管插管时、气腹后10min、气腹后30min、拔管时、拔管后5min的麻醉深度、血流动力学和应激指标水平的变化情况。结果:两组各个时刻的麻醉深度差异无统计学意义(P0.05);实验组从气管插管时到拔管后5min的血流动力学指标水平(HR、MAP)以及应激指标水平(ACTH、Cor、AngⅡ、E、NE和GLU)均稳定于对照组,差异具有统计学意义(P0.05)。结论:艾司洛尔有助于维持心率和血压平稳,减轻机体应激反应,提高妇科腹腔镜手术麻醉安全。
[Abstract]:Objective: to investigate the anesthetic effect of esmolol in gynecological laparoscopic surgery. Methods: sixty patients undergoing gynecologic laparoscopic surgery were randomly divided into experimental group (n = 30) and control group (n = 30). All patients were given general intravenous anesthesia, the experimental group was given esmolol after pneumoperitoneum, and the control group was injected with normal saline. The anesthetic depth, hemodynamics and stress index of 5min before anesthesia induction, during tracheal intubation, 10 min after pneumoperitoneum, 30 min after pneumoperitoneum and 30 min after extubation were compared between the two groups. Results: there was no significant difference in anesthetic depth between the two groups at every time (P0.05), the levels of 5min hemodynamic index (HR,MAP) and stress index (ACTH,Cor,Ang 鈪，

本文编号：2264075