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时间:2020-05-02
《不同复合麻醉方式在腹股沟疝腹腔镜修补术中的影响.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、电子版)2014年8月第8卷第4期ClainJHerniaAbdaninalWallSurg(El~aw.icEditic~)。Au~'ust2014.Vo1.8。No.4.29..论著.不同复合麻醉方式在腹股沟疝腹腔镜修补术中的影响李双宝【摘要】目的比较不同复合麻醉方式对腹腔镜手术效果的影响。方法回顾性分析2010年5月至2013年12月,唐山市玉田县计生中心医院收治的腹股沟疝患者112例,随机分为二组,每组各56例,A组采用静吸复合全身麻醉,B组采用腰硬联合麻醉,比较二组患者的麻醉效果、麻醉起效时间、麻醉持续
2、时间、术毕持续时间、并发症发生情况。结果A组的麻醉优良率为94.6%,B组为96.4%,二组之间比较差异有统计学意义=19.13,P=0.02)。A组麻醉起效时间(9.0±1.2)min,B组麻醉起效时间(6.3±1.6)min,二组比较差异有统计学意义(t=15.Ol,P=0.001)。A组的麻醉不良反应发生率为10.7%,B组为8.9%,差异有统计学意义(X2=0.32,P=0.002)。结论静吸复合全身麻醉与腰硬联合麻醉应用于腹股沟疝腹腔镜手术中均能起到良好的麻醉效果,腰硬联合麻醉缩短了麻醉起效时间,并发症
3、发生率低,值得临床推广应用。【关键词】疝,腹股沟;腹腔镜;麻醉,全身;麻醉,硬膜外;对比研究EfectsofdiferentcombinedanesthesiatolaparoscopicinguinalherniarepairL/Shuangbao.DepartmentofAnesthesiologySurgery,YutianFamilyPlanningCenterHospital,Tangshan064100,ChinaCorrespondingauthor:LiShuangbao,Email:775438
4、82@qq.corn【Abstract】ObjectiveTocomparetheefectsofdiferentcombinedanesthesiatolaparoscopicinguinalherniarepair.MethodsBetweenMay2010andDecember2013,aretrospectiveanalysiswasperformedin112casesofinguinalherniawhowereadmittedtoYutianFamilyPlanningCenterHospita1.
5、Allpatientsweredividedintotwogroupswithequalamount(56casesineachgroup)basedondiferentanestheticmethods:in~avenous—inhalationcombinedanesthesiainGroupAandcombinedspinal—epiduralanesthesiainGroupB.Theanesthesiaeffect,onsettime,duration,postoperativeduration,and
6、complicationswerecomparedbetweentwogroups.ResultsGoodanesthesiaratewas94.6%inGroupA.and96.4%inGroupB,thisdiferenceWasstatisticallysignificant(=19.13,P=0.02).ThereWassignificantdiferenceinanesthesiaonsettimebetweenGroupAandGroupBf9.0±1.2minutes.6.3±1.6minutes,
7、t=15.01,P=0.001).Theadverseefectsofanesthesiaoccurredmore~equenflyinGroupAthanGroupB(10.7%VS.8.9%,=0.32,P=0.002).ConclusionBothintravenous—inhalationcombinedanesthesiaandcombinedspinal—epiduralanesthesiacanplayagoodefectinlaparoscopicinguinalherniarepair.Wepr
8、omotetheuseofcombinedspinal-epiduralanesthesiapopularized,asitshowsashorteronsettimeofanesthesiaandlesscomplications.【Keywords】Hernia,inguinal;Laparoscopes;Anesthesia,general;Anesthesia,e
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