Effect of different anesthesia methods on hemodynamics in gynecological laparoscopic operation
10.3760/cma.j.issn.1008-6706.2010.02.014
- VernacularTitle:两种麻醉方法对妇科腹腔镜手术患者血流动力学的影响
- Author:
Haiying ZHU
- Publication Type:Journal Article
- Keywords:
Anesthesia,epidural;
Anesthesia,general;
Laparpseopy;
Hemodynamic phenomena
- From:
Chinese Journal of Primary Medicine and Pharmacy
2010;17(2):172-173
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effects of peridural and general anesthesia on haemodynamics in gynecological laparoscopic operation.Methods 106 patients with gynecological laparoscopic operation were randomly divided into epidural anesthesia group(n=53)and general anesthesia group(n=53)respectively.The changes of heart rate(HR),systolic blood pressure(SBP),diastolic blood pressure(DBP),SPO_2 were monitored before anesthesia,at 20min after pneumoperitoneum(pp),end of operation.Results The sober time in epidural anesthrsia geoup(7.1 ±2.5)min was significantly faster than that in general anesthesia group(20.8 ± 6.3)min(t=2.068,P＜0.05).At 20min after pp,HR in general anesthesia group(91 ±17)was significantly faster than that in ppidural anesthesia group before anesthesia(t=2.593,P＜0.05),and it was significantly higher than epidural anesthesia group(t=3.417,P＜0.05).SBP in epidural anesthesia group was singnificantly lower than before anesthesia(t=2.806,P＜0.05),and it was significantly lower than general anesthesia group(t=3.917,P＜0.05).Conclusion General anesthesia does not significantly better than epidural anesthesia in gynecological laparoscopic operation,but they should enhance the clinical monitoring of hemodynamics.
