临床误诊误治2023，Vol.36Issue(8)：117-121,5.DOI:10.3969/j.issn.1002-3429.2023.08.025
硬膜外阻滞复合全身麻醉在腹腔镜子宫切除术中的应用研究
Application of Epidural Block Combined with General Anesthesia in Lapa-roscopic Hysterectomy
摘要
Abstract
Objective To analyze the application effect of epidural block combined with general anesthesia in laparo-scopic hysterectomy for cervical cancer and its effects on pain and stress indexes.Methods A total of 122 patients who un-derwent laparoscopic hysterectomy for cervical cancer from February 2018 to April 2021 were selected and divided into group A(receiving general anesthesia,n =60)and group B(receiving epidural block+general anesthesia,n =62)according to dif-ferent anesthesia methods.Anesthetic effect,anesthesia related time,pain,mean arterial pressure(MAP),heart rate(HR),norepinephrine(NE),epinephrine(E)and adverse reactions were compared between the two groups.Results The anesthetic effect of group B was higher than that of group A(P＜0.05).The recovery time of spontaneous breathing,extuba-tion and recovery time of group B were shorter than those of group A,and the visual analog scale(VAS)score of group B was lower than that of group A(P＜0.01).After pneumoperitoneum,the levels of MAP,HR,NE and E in the two groups were higher than those before anesthesia,but lower in group B than in group A(P＜0.05,P＜0.01).After the operation,the MAP,HR,NE and E levels in group B were lower than those in group A(P＜0.01).The incidence of adverse reactions in group B was lower than that in group A[(4.84%,3/62)vs.(16.67%,10/60)](P＜0.05).Conclusion Epidural block combined with general anesthesia in laparoscopic hysterectomy for cervical cancer has a significant effect,which can re-lieve pain,and reduce postoperative stress reaction,showing good safety.关键词
宫颈肿瘤/麻醉,硬膜外/全身麻醉/腹腔镜/子宫切除术/疼痛/去甲肾上腺素/肾上腺素Key words
Uterine cervical neoplasms/Anesthesia,epidural/General anesthesia/Laparoscopes/Hysterectomy/Pain/Norepinephrine/Epinephrine分类
医药卫生引用本文复制引用
刘彤,林威威,陈本祯,陈东文,阳旭,高洪光,周龑,鄢伟..硬膜外阻滞复合全身麻醉在腹腔镜子宫切除术中的应用研究[J].临床误诊误治,2023,36(8):117-121,5.基金项目
四川省卫生健康委员会科研课题(19ZD009) （19ZD009）
