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硬膜外阻滞与全麻在腹腔镜胆囊切除术中的效果比较

覃鲁

国际医药卫生导报2011,Vol.17Issue(11):1322-1324,3.
国际医药卫生导报2011,Vol.17Issue(11):1322-1324,3.DOI:10.3760/cma.j.issn.1007-1245.2011.11.014

硬膜外阻滞与全麻在腹腔镜胆囊切除术中的效果比较

The efficacy of epidural blockade versus that of general anesthesia in laparoscopic cholecystectomy

覃鲁1

作者信息

  • 1. 528216,佛山市南海区丹灶镇医院
  • 折叠

摘要

Abstract

Objective To compare the efficacy of epidural blockade with that of general anesthesia in laparoscopic cholecystectomy. Methods 50 ASA Ⅰ-Ⅱ patients scheduled for elective laparoscopic cholecystectomy were randomly assigned to receive general anesthesia ( 25 patients, control group ), or epidural blockade( 25 patients, study group ). Systolic blood pressure( SBP ), diastolic pressure( DBP), heart rate ( HR ), and SpO2 were observed in the two groups before and after the formation of artificial pneumoperitoneum. The changes in PETCO2 were observed in the study group. Results 15 minutes after the formation of pneumoperitoneum, SBP, DBP, and HR were declined in the control group, while they were slightly elevated in the study group there was a statistical difference between the two group ( P < 0. 01 ). PETCO2 was notably increased in the study group. Conclusions General anesthesia is superior to epidural blockade in laparoscopic cholecystectomy.

关键词

腹腔镜/胆囊切除术/全麻/硬膜外阻滞

Key words

Peritoneoscopy/Cholecystectomy/General anesthesia/Epidural blockade

引用本文复制引用

覃鲁..硬膜外阻滞与全麻在腹腔镜胆囊切除术中的效果比较[J].国际医药卫生导报,2011,17(11):1322-1324,3.

国际医药卫生导报

1007-1245

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