【摘要】 目的:比较妇科腹腔镜手术不同麻醉方法对脉搏、血氧饱和度(SpO2)及动脉血二氧化碳分压(PET鄄CO2)的影响,探讨围术期护理对策。方法:对30例腹腔镜下妇科手术患者随机选用硬膜外及全麻2种麻醉方法,在气腹前10min、气腹后20min、放气后20min分别监测其SpO2和PETCO2变化。结果:硬膜外组在气腹后20min,SpO2较气腹前明显降低,PETCO2较气腹前明显升高,有显著性差异(P<0.05),而全麻组变化不明显。结论:腹腔镜下妇科手术采用全麻方法较安全,术中应加强术中呼吸循环的监测,以保证患者安全渡过围手术期。更多还原

【Abstract】 objective To observe the change of saturation of blood oxygen(SpO2)and arterial partial pressure of carbon dioxide(PETCO2)during gynecological laparoscope operation using different anesthesia. Method 30 patients undergoing gynaecological laparoscope operation were randomly divided into epidural anesthesia group and general anesthesia group, the change of SpO2 and PETCO2 were observed 10min before aeroperitoneum, 20min after aeroperitoneum and 20min after deflation.Results Compared with the value before aeroperitoneum, SpO2 at 20min after aeroperitoneum in epidural anesthesia group decreased significantly,and PETCO2 increased markedly (P<0.05); but those value in general anesthesia group had no significant difference.Conclusion It is relatively safe to use general anesthesia during gynecological laparoscope operation, but index of respiration and circulation should be monitored, so as to ensure the safety of patients during operation.更多还原