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1、腰-硬联合麻醉复合喉罩和气管插管全麻在腹腔镜妇科手术的应用比较曾亮亮李桂枝李伯兴黄爱儿(东莞市寮步医院麻醉科广东东莞523400)【屮图分类号】R714【文献标识码】A【文章编号】1672-5085(2011)41-0200-03【摘要】A的观察腰-硬联合麻醉复合喉罩和气管插管全麻对患者血流动力学和术后并发症的影响。方法择期腹腔镜妇科手术患者60例，随机分为A组和B组。A组选择L2-3间隙进行腰-硬联合麻醉，调整麻醉平面于T6水平，后麻醉诱导插入喉罩。B组为气管插管全麻组。记荥麻醉前(T0)、诱导后lmin(T1)、插入喉罩或气管导管后lmin(T2)、气腹后5min(T3)、拔
2、喉罩或气管导管前(T4)、拔喉罩或气管导管后lmin(T5)的SBP、DBP、HR、SpO2和ECG。并记录患者拔管、呼之睁眼、随意运动恢复、定向力恢复的时间，术后疼痛评分。结果与T0时相比，B组T2、T3、T4、T5时SBP、DBP明显升高，HR明显增快，且相应时点均高于A组(P<0.05);A组拔管时间,睁眼时间,定向力恢复时间明显短于B组，苏醒后述伤门疼痛率，术后咽喉痛A组明显少于B组。结论腰-硬联合麻醉复合喉罩用于腹腔镜妇科手术具有麻醉效果确切、平稳、苏醒迅速及不良反应少的优点，是较为安全有效的麻醉方法。【关键词】腰-硬联合麻醉喉罩气管插管腹腔镜妇科手术Compar
3、isonofCombinedspinal-epiduralanesthesialaryngealmaskairwayandendotrachealintubationintherylaparoscopicgynecologicalsurgeundergeneralanesthesiaZENGLiang-liang，LiGui-zhi，LiBo-xing，etal.DepartmentofAnesthesiology,LiaobuHospital,Dongguan523400,China【Abstract】ObjectiveToobservetheeffectsofCombined
4、spinal-epiduralanesthesialaryngealmaskairwayandendotrachealintubationonhemodynamicsandcomplications.MethodsSixtygeneralanesthesiapatientsscheduledforselectivelaparoscopicgynecologicalsurgewererandomizedintotwogroupswith30caseseach：AgroupandBgroup.GroupAchoice-3clearancetowaistL2epiduralanesth
5、esia,adjusttheanesthesiacombinedplaneinT6level,narcoticinductionintoafterlaryngealmask.GroupBendotrachealintubationforgeneralanesthesiagroup.Recordbeforeanesthesia(TO),afterinduction1min(Tl),insertalaryngealmaskortheendotrachealtubeafter1min(T2),gaslesslaparoscopicafterfivemin(T3),pulloutalar
6、yngealmaskortheendotrachealtube(T4),pulloutbeforelaryngealmaskortheendotrachealtubeafter1min(T5),theSBPDBP,HR,SpO2andECG.Andrecordpullouturinouscatheter,calledtheopenandoptionalsportsrecovery,directionalpowerrecoverytime,postoperativepainscore.TheresultsandTOthanwhengroupBT2,T3,andT4,T5SBPand
7、DBPwhenincreasedsignificantly,HRobviousincreasefast,andthecorrespondingpointarehigherthanthegroupA(P<0.05);GroupAdrawingtubetime,openyoureyestime,directionalpowerrecoverytimeobviousshortingroupB,awokeabovethewound,sorethroatpostoperativepa
