Anesthetic Effect of General Anesthesia Combined with Epidural Anesthesia on Total Hysterectomy with Laparoscopy in Hypertensive Patients

Shen Yong

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Anesthetic Effect of General Anesthesia Combined with Epidural Anesthesia on Total Hysterectomy with Laparoscopy in Hypertensive Patients

更新时间：2021-08-23

- Anesthetic Effect of General Anesthesia Combined with Epidural Anesthesia on Total Hysterectomy with Laparoscopy in Hypertensive Patients
- Health Medicine Research and Practice Vol. 12, Issue 4, Pages: 36-39(2015)
- 作者机构：
  
  咸宁市第一人民医院麻醉科
- 作者简介：
- 基金信息：
- DOI：
  CLC： R614
- Published：2015，
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[1]沈勇.全麻复合硬膜外麻醉在高血压患者腹腔镜全子宫切除术中的麻醉效果观察[J].保健医学研究与实践,2015,12(04):36-39.

Shen Yong. Anesthetic Effect of General Anesthesia Combined with Epidural Anesthesia on Total Hysterectomy with Laparoscopy in Hypertensive Patients. [J]. Health Medicine Research and Practice 12(4):36-39(2015)
[1]沈勇.全麻复合硬膜外麻醉在高血压患者腹腔镜全子宫切除术中的麻醉效果观察[J].保健医学研究与实践,2015,12(04):36-39. DOI：

Shen Yong. Anesthetic Effect of General Anesthesia Combined with Epidural Anesthesia on Total Hysterectomy with Laparoscopy in Hypertensive Patients. [J]. Health Medicine Research and Practice 12(4):36-39(2015) DOI：

摘要

目的探讨全麻复合硬膜外麻醉在女性高血压患者腹腔镜全子宫切除术中的麻醉效果。方法选取2012年8月-2014年12月咸宁市某医院收治的行腹腔镜全子宫切除术的高血压患者168例

分为观察组（90例）和对照组（78例）

其中观察组给予全麻复合硬膜外麻醉

对照组给予单纯全麻

观察2组患者麻醉前10min（T0）、气管插管时（T1）、气腹后5min（T2）、切除子宫时（T3）、拔管时（T4）的心率、收缩压、舒张压及血糖、肾上腺素、醛固酮水平变化情况

同时对2组患者的自主呼吸恢复时间、完全清醒时间、拔管时间及子宫牵拉反应抑制效果进行对比分析。结果在T2

T4时间点上

观察组患者的心率、收缩压、舒张压及醛固酮水平均低于对照组

差异有统计学意义（P<0.05）;在T1

T4时间点上

观察组患者的肾上腺素水平明显低于对照组

差异有统计学意义（P<0.05）;观察组患者子宫牵拉反应抑制有效率为92.22%

对照组为83.33%

2组比较差异无统计学意义（χ2=3.148

P=0.076）。观察组患者术后自主呼吸恢复时间、拔管时间和完全清醒时间分别为（4.34±1.18）min

（9.49±2.13）min

（18.63±5.18）min

明显短于对照组

差异有统计学意义（P<0.05）。结论全麻复合硬膜外麻醉在女性高血压患者腹腔镜全子宫切除术中有较好的麻醉效果

且术后拔管时间、自主呼吸恢复时间及苏醒时间短

值得临床推广。

Abstract

Objective To investigate anesthetic effect of general anesthesia combined with epidural anesthesia on total hysterectomy with laparoscopy in hypertensive women.Method 168 cases of hypertensive patients received from August 2012 to December 2014 in a hospital of Xianning City to have total hysterectomy with laparoscopy surgery were divided into an observation group（90cases）and a control group（78）.The observation group were given general anesthesia with epidural anesthesia

while the control group were given only general anesthesia.Then patients in both groups were observed the levels of the heart rate

systolic blood pressure

diastolic blood pressure

blood sugar

adrenaline and aldosterone in 10 minutes before anesthesia（T0）

trachea cannula（T1）

5minutes after pneumoperitoneum（T2）

the removal of the uterus（T3）and extubation（T4）and they were compared and analyzed their spontaneous breathing recovery time

fully awake time

extubation time and the inhibitory effect of uterine traction.Results On the time points of T2

and T4

the heart rate

systolic blood pressure

diastolic blood pressure and the level of aldosterone in the observation group were lower than the control group and the difference was statistically significant（P<0.05）;on the time points of T1

and T4

the level of adrenaline in the observation group was obviously lower than the control group and the difference was statistically significant（P<0.05）;the inhibitory rate of uterine traction in the observation group was 92.22%

that of the control group was 83.33% and the difference between the two groups was not statistically significant（χ2=3.148

P=0.076）.In the observation group

the spontaneous breathing recovery time

extubation time and fully awake time were（4.34±1.18）min

（9.49±2.13）min and（18.63±5.18）min

significantly shorter than the control group and the differences were statistically significant（P<0.05）.Conclusion General anesthesia with epidural anesthesia has good effect on total hysterectomy with laparoscopy in hypertensive women and it can shorten the extubation time

spontaneous breathing recovery time and awake time

worthy of further clinical promotion.

关键词

全麻复合硬膜外麻醉高血压腹腔镜全子宫切除术麻醉效果

Keywords

General anesthesia combined with epidural anesthesiahypertensionLaparoscopyTotal hyster-ectomyAnesthetic effect

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