摘要
Abstract
Objective To compare Combined spinal-epidural anesthesia laparoscopic hernia repair application security, effectiveness and impact of dexmedetomidine and propofol given to patients with respiratory and circulatory functions. Methods Application dexmedetomidine given Combined spinal-epidural anesthesia assisted laparoscopic hernia repair in 60 patients, male or female, mean age 62 ± 4 years old, ASA gradeⅠ -Ⅱ grade, Make A Group;select propofol auxiliary CSEA 60 cases of laparoscopic hernia repair patients, male or female, mean age 63 ± 3 years old, ASA gradeⅠ -Ⅱ grade, to group B. Two groups were compared in different time intraoperative blood pressure, heart rate, pulse oximetry, with or without agitation and apnea after injection case. Results Both methods can meet the surgery requires anesthesia, the patient can successfully secure through the perioperative period, but surgery patients in group A than in group B is more stable respiratory and circulatory function, the number was significantly less apnea and restless after injection in group B. Conclusion Dexmedetomidine will be able to produce sedation, analgesia and anti-sympathetic role, while having a wake-up features in the secondary lumbar Combined spinal-epidural anesthesia in laparoscopic hernia repair is safe and effective, and make the respiratory and circulatory function in patients with intraoperative more smoothly, reducing the number of restlessness within the cone of anesthesia in laparoscopic surgery have broader application.关键词
右美托咪定/丙泊酚/疝修补术/腹腔镜术/腰硬联合麻醉Key words
dexmedetomidine/propofol/hernia repair/laparoscopy/Combined spinal-epidural anesthesia分类
医药卫生
