摘要
目的:探讨腰麻-硬膜外联合麻醉应用于下腹部腹腔镜手术中的可行性。方法:选取ASA评分I^II级的患者170例,L2~3间隙行腰硬联合麻醉,辅助静脉注射芬太尼与异丙酚等,行下腹部腹腔镜手术。结果:术中呼吸末二氧化碳分压(PetCO2)维持在30~55 mmHg,脉搏血氧饱和度(SpO2)均维持在95%以上。150例麻醉效果好,完全无痛,肌松满意。结论:腰硬联合麻醉辅助静脉注射适量镇静、镇痛药用于下腹部腹腔镜手术,能加强呼吸循环系统的监测和管理,是安全可行的。
Objective： To investigate application possibility of combined spinal and epidural analgesia in laparoscopic operation of lower abdomen. Methods： Selected 170 patients with Ⅰ-Ⅱ grade in ASA evaluation, employed combined spinal and epidural analgesia through L2-3interspace with auxiliary intravenous injection of fentanyl and propofol and performed laparoscopic operation of lower abdomen. Results： The concentration of end-tidal partial pressure of carbon dioxide （ PetCO2 ） was 30-55mmHg, and saturation of pulse blood oxygen （ SpO2 ） was more than 95%. The analgesic effect and status of loose muscle of 150 cases were satisfactory, and all patients had no pain. Conclusion： Combined spinal and epidural analgesia with auxiliary intravenous injection of fentanyl and propofol can strengthen monitoring and managing respiratory and circulatory system.
出处
《海南医学院学报》
CAS
2009年第4期342-343,346,共3页
Journal of Hainan Medical University
关键词
腰硬联合麻醉
腹腔镜手术
异丙酚
Combined spinal and epidural analgesia
Laparoscopie operation
Propofol
