单纯麻醉与全麻复合腰-硬联合麻醉在腹腔镜子宫切除术中的应用比较

发布时间：2019-05-19 10:15

【摘要】：目的:比较分析单纯麻醉与全麻复合腰-硬联合麻醉在腹腔镜子宫切除术中的应用效果。方法:随机选取2014年1月-2015年1月笔者所在医院接诊并行子宫切除术的患者36例,根据患者病情和意愿分为观察组和对照组。观察组在全麻复合腰-硬联合麻醉状态行腹腔镜子宫切除术,对照组在单纯麻醉状态下行腹腔镜子宫切除术。根据临床和术后随访资料,对两种麻醉效果进行回顾性总结分析。结果:经统计比较,两组患者均取得较好的麻醉效果,但观察组患者的总体疗效明显优于对照组,差异有统计学意义(P0.05)。结论:全麻复合腰-硬联合麻醉在腹腔镜子宫切除术中的应用价值是确切可靠的,不仅能够显著减少手术时间,减少麻药的使用量,保证术中麻醉效果,而且还能减少患者因麻醉而引起的并发症及不良反应,具有单纯全身麻醉无法替代的优势,受到了患者及家属的普遍欢迎,值得在临床中大力推广应用。
[Abstract]:Objective: to compare and analyze the effect of simple anesthesia and general anesthesia combined with spinal-epidural anesthesia in laparoscopic hysterectomy. Methods: from January 2014 to January 2015, 36 patients with hysterectomy were randomly divided into observation group and control group according to their condition and wishes. Laparoscopic hysterectomy was performed in the observation group under general anesthesia and combined spinal-epidural anesthesia, while laparoscopic hysterectomy was performed in the control group under simple anesthesia. According to the clinical and postoperative follow-up data, the effects of the two anaesthesia were summarized and analyzed retrospectively. Results: after statistical comparison, both groups achieved better anesthetic effect, but the overall curative effect of the observation group was significantly better than that of the control group, the difference was statistically significant (P 0.05). Conclusion: the application value of general anesthesia combined with spinal-epidural anesthesia in laparoscopic hysterectomy is accurate and reliable, which can not only significantly reduce the operation time, reduce the use of anesthetics, but also ensure the effect of intraoperative anesthesia. Moreover, it can reduce the complications and adverse reactions caused by anesthesia, and has the advantage that simple general anesthesia can not be replaced. It has been widely welcomed by patients and their families, and is worth popularizing and applying in clinic.
【作者单位】：丹阳市第二人民医院;
【分类号】：R614

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