不同麻醉给药方式对腹腔镜手术患者术后疼痛及麻醉复苏的影响

徐海文

（长庆油田职工医院，陕西 西安，710201）

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摘要：

目的 探讨不同麻醉给药方式对腹腔镜手术患者术后疼痛及麻醉复苏的影响。方法 选择在我院实施腹腔镜手术的80 例患者，随机分为观察组和对照组，各40例。观察组采用腰硬联合阻滞复合浅全麻，对照组采用插管全麻。观察比较两组患 者术后疼痛及麻醉复苏情况。结果 与对照组比较，观察组术后1 h 内HR 和MAP 值更稳定且明显更低，差异具有统计学意义（P<0.05）；两组患者苏醒后1、2、4 h 的VAS 与Ramsay 评分均低于同组30 min，观察组患者各时间段的VAS 与Ramsay 评分均明显低于对照组（P<0.05）；观察组有1 例患者注射凯芬镇痛（2.5%），少于对照组的18例（45.0%）（P<0.05）；两组不良反应总发生率比较，无显著差异（P>0.05）。结论 腹腔镜手术中给予患者腰硬联合阻滞复合浅全麻具有良好的 效果，值得临床推广使用。

关键词：腹腔镜手术；麻醉；疼痛；复苏

中图分类号：R473.6文献标志码：A文章编号：2096-1413(2017)31-0062-02

Effects of different administration modes of anesthesia on postoperative pain and anesthesia resuscitation in patients underwent laparoscopic surgery
XU Hai-wen
(Changqing Oilfield Staff Hospital, Xi``an 710201, China)

ABSTRACT: Objective To investigate the effects of different administration modes of anesthesia on postoperative pain and anesthesia resuscitation in patients underwent laparoscopic surgery. Methods Eighty patients underwent laparoscopic surgery in our hospital were selected and randomly divided into observation group and control group, with 40 cases in each group. The observation group was treated with combined spinal -epidural anesthesia and shallow general anesthesia, the control group was treated with intubation of general anesthesia. Results Compared with the control group, the HR and MAP values within 1 h after operation in the observation group were more stable and lower (P<0.05). The scores of VAS and Ramsay at 1, 2, 4 h after awakening in the two groups were lower than those at 30 min after awakening, and which in the observation group at 30 min, 1, 2, 4 h were lower than the control group (P<0.05). One patient in the observation group injected analgesics (2.5%), less than 18 patients in the control group (45.0%) (P<0.05). There was no difference in total incidences of adverse reactions between the two groups (P>0.05). Conclusion The combined spinal-epidural anesthesia and shallow general anesthesia in laparoscopic surgery has great effect, which is worthy of promotion and application.

KEYWORDS: laparoscopic surgery; anesthesia; pain; resuscitation

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