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目的 观察妇科腹腔镜手术中腰硬联合麻醉复合异丙酚的临床应用效果.方法 选取医院收治的149例妇科腹腔镜手术患者为研究对象,根据不同麻醉方式将其分为观察组(91例)和对照组(58例).对照组给予气管内插管全身麻醉,观察组给予腰硬联合麻醉复合异丙酚.观察2组妇科腹腔镜手术患者的临床麻醉效果.结果 观察组在气腹建立后10 min(T2)、气腹建立后30 min(T3)时间段HR、MAP指标优于对照组(P<0.05);观察组术后完全苏醒时间为(4.62±2.87) min,明显短于对照组的(18.52±4.46) min(P<0.01);观察组苏醒优良率为97.80%,高于对照组的79.31%(P<0.01).结论 腰硬联合麻醉复合异丙酚应用于妇科腹腔镜手术麻醉中的临床效果显著,值得在临床麻醉工作中推广应用.“,”Objective To observe the clinical effect of combined administration of propofol combined with lumbar and spinal combined anesthesia in gynecological laparoscopic surgery.Methods 149 cases of gynecological laparoscopic surgery in our hospital were selected as the research object,and were divided into study group (n=91) and control group (n=58),according to different anesthesia method.The control group of 58 cases of gynecologic laparoscopic surgery patients were given general anesthesia endotracheal intubation,the study group of 91 cases of laparoscopic surgery were given combined spinal epidural anesthesia combined with propofol anesthesia;compared two groups of patients undergoing laparoscopic gynecological surgery.Results The HR index and MAP index of the observation group were better than those of the control group (P<0.05) at 10 min (T2) and 30 min (T3) after pneumoperitoneum establishment.The complete recovery time was (4.62±2.87) min,which was significantly shorter than that of the control group (18.52±4.46) min(P<0.01);The recovery rate of the observation group was 97.80%,which was higher than that of the control group 79.31% (P<0.01).Conclusion The clinical effect of combined spinal epidural anesthesia combined with propofol anesthesia in gynecological laparoscopic surgery is significant,and it is worthy of popularization and application in clinical anesthesia.