【摘要】 目的分析COPD患者腹腔镜胆囊切除术的麻醉方法。方法选取84例患者随机分为A组和B组两组,每组各42例。A组行单纯全麻,B组行全麻复合硬膜外麻醉。对比两组术中情况。结果两组在t3时MAP组间比较差异显著,其他时间各指标组间比较均无统计学差异(P>0.05);A组患者t3、t4时MAP与Pet CO2和前一时段比较差异显著(P<0.05),B组患者t3及t4时Pet CO2和前一时段比较差异显著(P<0.05),其他时段组内比较无统计学差异(P>0.05)。A组患者睁眼时间、拔管时间、意识恢复时间等均明显小于B组,差异具有统计学意义(P<0.05)。结论 COPD患者腹腔镜胆囊切除术中应用全麻复合硬膜外麻醉麻醉效果更佳。更多还原

【Abstract】 Objective To analyze anesthesia methods of COPD patients with laparoscopic cholecystectomy.Methods 84 patients were randomly divided into group A and group B with 42 patients in each. Group A received general anesthesia while group B received combined general-epidural anesthesia. Intraoperative conditions between the two groups were compared. Results MAP at t3 between two groups had a significant difference and there was no significant differences in every index at other time between two groups(P > 0.05); MAP and Pet CO2 at t3 and t4 of patients and those in group A in a previous period differed significantly(P < 0.05), Pet CO2 at t3 and t4 of patients in group B and those in a previous time period differed significantly(P < 0.05). There was no significant difference in other time periods in both groups(P > 0.05). Eye opening time, extubation time and the time of restoration to consciousness of patients in group A were all shorter than those in group B and the differences were statistically significant(P < 0.05). Conclusion COPD patients with laparoscopic cholecystectomy have a better anesthesia effect when receiving combined general-epidural anesthesia.更多还原