【摘要】 目的　比较腰麻 -硬膜外联合麻醉与静吸复合全麻用于妇科腹腔镜手术对BP、HR、SpO2 、PETCO2 的影响。方法　 4 0例妇科腹腔镜手术患者随机分成腰麻 -硬膜外联合麻醉组 (CSEA组 ) 2 0例 ,静吸复合全麻 (GA组 )2 0例。监测患者麻醉前 10分钟 ,气腹前 ,气腹后 10分钟、30分钟、术毕放气后 10分钟的BP、HR、SpO2 、PETCO2 ,记录各组数据。结果　①气腹后CSEA组和GA组较气腹前HR都明显增快 (p <0 .0 1) ,MAP明显升高 (P <0 .0 5 ) ;②CSEA组患者PETCO2 于气腹后明显上升 (p <0 .0 5 ) ,GA组无明显差异 ;③GA组麻醉后SpO2 较CSEA组高 (p <0 .0 1)。④CSEA组BP、HR、SpO2 、PETCO2 均在正常范围。结论　腰麻 -硬膜外联合麻醉用于妇科腹腔镜手术安全可靠 ,较静吸复合全麻简便、经济 ,是较理想的麻醉方法。更多还原

【Abstract】 Objective To compare the effect of combined spinal-epidural anesthesia with inhalation and intravenous general anesthesia laparascopic gynecology surgery on HR, BP, SpO 2 and P ETCO 2.Methods Forty patients undergoing laparoscopic gynecology surgery were devided into combined spinal-epidural anesthesia group (group CSEA, n=20) and inhalation and intravenous general anesthesia group (group GA, n=20). HR, BP, SpO 2 and P ETCO 2 were monitored and recorded at five time points as follows:before anesthesia, before insufflation, at 10min, 30min after insufflation and after desufflation respectively.Results ①HR had increased significantly(p<0.01)after pneumascos in both two groups, and MAP had also increased significantly(P<0.05).②P ETCO 2 was increased significantly(p<0.05) in group CSEA,but it did not change significantly in group GA after pneumascos.③SpO 2 was significantly higher in group GA than in group CSEA(p<0.01)after anesthesia.④BP,HR,SpO 2 and P ETCO 2 were normal in group CSEA during operation.Conclusion The combined spinal-epidural anesthesia may be safer and more reliable, easier and more economical than inhalation and intravenous general anesthesia. This method is an ideal technique for laparoscopic gynecology surgery.更多还原