EFFECTS OF EPIDURAL ANESTHESIA ON BLOOD GLUCOSE AND HEMODYNAMICS IN PATIENTS WITH GYNECOLOGIC LAPAROSCOPIC SURGERY
10.3969/j.issn.1671-332X.2015.03.014
- VernacularTitle:硬膜外麻醉对妇科腹腔镜手术患者血糖及血液动力学影响作用分析
- Author:
Jiexian ZHOU
;
Ping LIN
;
Ruiling ZHOU
- Publication Type:Journal Article
- Keywords:
Epidural anesthesia;
General anesthesia;
Laparoscope;
Gynecology;
Blood glucose;
Hemody-namics
- From:
Modern Hospital
2015;(3):47-49
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of epidural anesthesia on blood glucose and hemodynamics in patients undergoing gynecological laparoscopic surgery .Methods 108 cases undergoing laparoscopic gynecology surgery in our hospital from January 2012 to January 2014 were randomized into the observation group and control group equally .The observation group was treated by epidural anesthesia for surgery , while the control group was trea-ted by general anesthesia .The hemodynamics and blood glucose in the two groups were compared before anesthesia , after pneumoperitoneum and surgery .The operative time , blood loss during operation , volume of fluid infusion and pneumoperitoneum time were recorded .Results The operative time , blood loss during operation , volume of fluid in-fusion and pneumoperitoneum time had no significant differences between the two groups (p>0.05).The heart rate in the observation group was significantly higher than that in the control group at the time point of 5 min after pneumo-peritoneum.The blood pressure in the observation group was significantly lower than that before anesthesia at the time of 30 min after pneumoperitoneum , as well asafter operation .Theblood pressure after pneumoperitoneum in the control group was significantly higher than that before anesthesia , with DBP after operation higher than that before anesthesia (p<0.05).Postoperative blood glucose in the control group was significantly higher than that before anesthesia (p<0.05).Both systolic blood pressure and diastolic blood pressure in the observation group after pneumoperitoneum and operationwere significantly lower than thosein the control group (p <0.05).Conclusion Epidural anesthesia is more ideal to reduce stressresponse ,control blood pressure , and maintainnormal blood sugar levels .
