Comparision of intravenous anesthesia and lumbar epidural anesthesia using rayleigh fentanyl-propofol and spinal epidural anesthesia in gyne-cology department periyoneoscope surgery
- VernacularTitle:妇科腹腔镜手术中异丙酚联合瑞芬太尼静脉全麻与腰硬膜外麻醉的效果比较
- Author:
Jingyan ZHAO
1
;
Lishuang ZHOU
Author Information
1. 河北省宁晋县妇幼保健院麻醉科
- Keywords:
Laparoscopic surgery;
The intravenous anesthesia;
Lumbar epidural anesthesia
- From:
China Modern Doctor
2014;(24):82-85
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate anesthesia effect comparision of the Rayleigh fentanyl-propofol intravenous anes-thesia and epidural anesthesia and analyze the safety and feasibility of them. Methods A total of 70 cases of the pa-tients undergoing laparoscopic surgery were randomly divided into A,B groups, 35 cases in each group, group A used Rayleigh fentanyl-propofol intravenous anesthesia and group B used lumbar epidural anesthesia. Results Narcotic ef-fect, pain, muscle relaxant and internal force of group A were better than that of group B (P<0.05, P<0.01); There were no significant difference of SBP, DBP, MAP, HR, SpO2 between group A and group B; Intraoperative inflow,inci-dence of postoperative nausea and vomiting and the use of ephedrine in group A were less than group B(P<0.01). Con-clusion In gynecological laparoscopic surgery anesthesia, the effect of Rayleigh fentanyl-propofol intravenous anesthe-sia,which is easy and security, is better than that of lumbar epidural anesthesia.