【摘要】 目的 探讨腰硬联合阻滞复合浅全身麻醉与插管全身麻醉在妇科腹腔镜手术中的麻醉效果及可行性。方法 选择58例患者,分为腰-硬联合阻滞（A组）和插管全身麻醉（B组）各29例,分别记录气腹前、气腹后10、20、30 min排气后10 min的BP、HR、RR、SpO2、PETCO2,同时观察患者的反应及术后苏醒情况。结果 A组CO2气腹后,RR加快、PETCO2升高差异有统计学意义（P2变化差异无统计学意义（P>0．05）;B组气腹时应激反应活跃,DBP、SBP、HR与气腹前比较差异有统计学意义（P0．05）,A组比B组术后苏醒快差异有统计学意义（P2，PETCO2 10,20,30 minutes before and after pneumoperitoneum and 10 minutes after exhausting,then observe the response of the 2 groups of patients after pneumoperitoneum and consciousness-regaining situation after surgery.Results After CO2 pneumoperitoneum,RR of the patients in group A speeds up,their PETCO2 elevates obviously （P<0．01）; the response of the patients in group B becomes active when pneumoperitoneum,the change of DBP,SBP,HR is more remarkable than that before pneumoperitoneum（P<0．01）.Each target of the two groups of patients has been improved 30 minutes after pneumoperitoneum.Each target is quite close to that before pneumoperitoneum 10 min after exhausting.The consciousness of the patients in group A regains more quickly compared to those in group B after the surgery（P<0．01）.All the gynecology peritoneoscope surgery to the patients has been smoothly done,no anaesthesia complication or accidents have happened.Conclusions In the gynecology peritoneoscope surgery,the method of CSEA assisted by the shallow and general vein anesthesia can more easily control the response of the organism compared to the method of tube-inserting general anesthesia.The consciousness can be regained quickly after surgery through the method.It is an effective,feasible and practical anaesthesia method.
【Key words】Combined spinal epidural analgesia（CSEA）;General anesthesia;Gynecology surgery;Peritoneoscope
在妇科腹腔镜手术中选择合适的麻醉方法及管理技术非常重要，下面分别观察腰-硬联合阻滞辅以静脉浅全身麻醉与单纯插管全身麻醉两种不同方法在妇科腹腔镜手术中的麻醉效果,以评价其可行性和实用性，现对比分析如下。（剩余161字）