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目的观察硬-腰联合复合喉罩浅静脉麻醉用于妇科腹腔镜手术中的可行性。方法选取妇科腹腔镜手术90例,随机分为三组各30例。F组:硬-腰联合辅以面罩浅静脉麻醉;L组:硬-腰联合麻醉复合喉罩浅静脉麻醉;T组:气管插管全麻组。分别观察三组患者气腹后10min.和30min.及手术后5min分别记录血压(SBP)、心率(HR)、呼吸频率(f)、脉搏血氧饱和度(SPO2)、呼吸末二氧化碳(PETCO2)变化和苏醒时间及用药量情况。结果T组的患者丙泊酚用药量明显多于L组和F组(p<0.05)。T组患者苏醒时间和拔管时间明显长于L组和F组,(p<0.05)。气腹后;F组SPO2下降明显p<0.05,F组和L组HR、f增高p<0.05。PET变化F组大于L组、T组(p<0.05)。结论硬-腰联合复合喉罩浅静脉麻醉用于妇科腹腔镜手术是可行的,达到安全、无痛、苏醒快,用药少,是值得推广的麻醉方法。
Objective To observe the feasibility of using superficial vein anesthesia with hard-lumbar combined laryngeal mask in gynecological laparoscopic surgery. Methods 90 cases of gynecological laparoscopic surgery were randomly divided into three groups of 30 cases. Group F: hard-lumbar combined with superficial veins anesthesia; Group L: hard-lumbar anesthesia combined with laryngeal superficial vein anesthesia; Group T: tracheal intubation general anesthesia group. The blood pressure (SBP), heart rate (HR), respiratory rate (f), pulse oxygen saturation (SPO2) and end-tidal carbon dioxide (PETCO2) were recorded at 10 min, 30 min and 5 min after operation respectively. Changes and recovery time and dosage situation. Results The dosage of propofol in T group was significantly higher than that in L group and F group (p <0.05). The recovery time and extubation time in T group were significantly longer than those in L group and F group (p <0.05). After pneumoperitoneum, the SPO2 in group F decreased significantly (p <0.05), while the HR and f increased in group F and group L (p <0.05). PET changes in group F than L group, T group (p <0.05). Conclusion The application of hard-lumbar combined laryngeal mask superficial venous anesthesia in gynecological laparoscopic surgery is feasible, safe, painless, rapid recovery, less medication, is worth promoting general anesthesia.