[1]刘 康,田 道.腹腔镜下脾切除术中静脉通道麻醉复合局麻对手术麻醉效果、应激指标影响的临床研究[J].陕西医学杂志,2021,50(1):68-70.[doi:DOI:10.3969/j.issn.1000-7377.2021.01.018]
　LIU Kang,TIAN Dao.Effect of intravenous anesthesia combined with local anesthesia on operative anesthesia and stress indexes during laparoscopic splenectomy[J].,2021,50(1):68-70.[doi:DOI:10.3969/j.issn.1000-7377.2021.01.018]
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腹腔镜下脾切除术中静脉通道麻醉复合局麻对手术麻醉效果、应激指标影响的临床研究
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
50
期数:
2021年1期
页码:
68-70
栏目:
临床研究
出版日期:
2021-01-05

文章信息/Info

Title:
Effect of intravenous anesthesia combined with local anesthesia on operative anesthesia and stress indexes during laparoscopic splenectomy
作者:
刘 康1; 田 道2
(1.陕西中医药大学第二附属医院麻醉科,陕西 咸阳 712000; 2.陕西省荣誉军人康复医院麻醉科,陕西 华阴 714200)
Author(s):
LIU Kang; TIAN Dao
(Department of Anesthesiology,the Second Affiliated Hospital of Shaanxi University of Chinese Medicine,Xianyang 712000,China)
关键词:
静脉通道麻醉;  局麻;  腹腔镜下脾切除术;  应激指标;  对比研究
Keywords:
Intravenous anesthesia;  Local anesthesia;  Laparoscopic splenectomy;  Stress index;  Comparative study
分类号:
R 614.3
DOI:
DOI:10.3969/j.issn.1000-7377.2021.01.018
文献标志码:
A
摘要:
目的:分析腹腔镜下脾切除术中静脉通道麻醉复合局麻的应用效果。方法:将80例行腹腔镜下脾切除术患者按抽签法进行分组,静脉通道组40例,静脉通道麻醉; 复合组40例,静脉通道麻醉复合局麻; 评估麻醉效果,比较其麻醉应激反应。结果:两组拔管、苏醒及手术时间比较差异无统计学意义(P>0.05)。复合组手术结束、术后6 h应激指标水平升高程度低于静脉通道组,术后6、12及24 h血浆S100β含量升高程度低于静脉通道组(P<0.05)。复合组麻醉不良反应占5.0%,静脉通道组占12.50%,两组比较差异无统计学意义(P>0.05)。结论:在腹腔镜下脾切除术中采用静脉通道麻醉结合复合局麻,麻醉效果好,应激反应轻。
Abstract:
Objective:To analyze the effect of intravenous anesthesia combined with local anesthesia during laparoscopic splenectomy.Methods:80 patients underwent laparoscopic splenectomy were divided into two groups according to the method of drawing lots,40 cases in venous channel group(intravenous channel anesthesia),and 40 cases in compound group(intravenous channel anesthesia combined with local anesthesia).The anesthetic effect was evaluated and the anesthetic stress reactions were compared.Results:The time of extubation,recovery and operation of the two groups were not different significantly(P>0.05). The adverse reactions of anesthesia in the composite group accounted for 5.0%,and the intravenous access group accounted for 12.50%,and there was no significant difference between the two groups(P>0.05).Conclusion:Intravenous anesthesia combined with local anesthesia during laparoscopic splenectomy has good anesthetic effect and light stress response.

参考文献/References:

[1] Ngu JC,Ng YY.Robotics confers an advantage in right hemicolectomy with intracorporeal anastomosis when matched against conventional laparoscopy[J].J Robot Surg,2018,12(4):647-653.
[2] Park YK,Yoon HM,Kim YW,et al.Laparoscopy-assisted versus open d2 distal gastrectomy for advanced gastric cancer:results from a randomized phase ii multicenter clinical trial(COACT 1001)[J].Ann Surg,2018,267(4):638-645.
[3] 魏恒明,李 坚,李 鸥,等.腹腔镜脾切除联合断流术与开腹手术治疗肝硬化后门脉高压的疗效对比[J].重庆医学,2020,49(7):1125-1127,1131.
[4] Umari M,Falini S,Segat M,et al.Anesthesia and fast-track in video-assisted thoracic surgery(VATS):from evidence to practice[J].J Thorac Dis,2018,10(Suppl 4):s542-s554.
[5] Tang CL,Li J,Zhang ZT,et al.Neuroprotective effect of bispectral index-guided fast-track anesthesia using sevoflurane combined with dexmedetomidine for intracranial aneurysm embolization[J].Neural Regen Res,2018,13(2):280-288.
[6] 窦艳伟,王海燕,吴世健.全身麻醉复合硬膜外麻醉对胸腹部手术患者应激反应及血流动力学影响[J].山西医药杂志,2017,46(24):2983-2985.
[7] 廖卫宁,张 郃,董文理,等.腹腔镜手术后羟考酮与芬太尼静脉自控镇痛对疼痛程度、免疫应答及应激反应的影响[J].海南医学院学报,2018,24(8):34-37.
[8] Akhtar MI,Momeni M,Szekely A,et al.Multicenter international survey on the clinical practice of ultra-fast-track anesthesia with on-table extubation in pediatric congenital cardiac surgery[J].J Cardiothorac Vasc Anesth,2019,33(2):406-415.
[9] 姜爱丽,张小妍,于 静,等.单孔腹腔镜术后罗哌卡因切口局部浸润麻醉镇痛的效果评价[J].中国内镜杂志,2020,26(4):24-28.
[10] Ye JS,Chen L,Lu YY,et al.SIRT3 activator honokiol ameliorates surgery/anesthesia-induced cognitive decline in mice through anti-oxidative stress and anti-inflammatory in hippocampus[J].CNS Neurosci Ther,2019,25(3):355-366.
[11] 王春雨,李训海,张定成.腔镜手术对胃癌患者应激反应及体液免疫的影响[J].中国现代普通外科进展,2017,20(12):985-987.
[12] 吴雅娟,任建光,蔡迪盛,等.丙泊酚复合不同剂量瑞芬太尼对老年高血压患者全麻诱导应激反应的影响[J].现代中西医结合杂志,2017,26(33):18-21,104.
[13] 杨 海,朱 波,曹德均.全凭静脉麻醉与吸入麻醉对老年患者腹部术后认知功能和血清S100β蛋白水平的影响[J].老年医学与保健,2018,24(5):541-543,566.
[14] 张旭辉.老年患者腹腔镜下胆囊切除术应用丙泊酚与瑞芬太尼静吸复合麻醉对其认知功能的影响[J].中国校医,2018,32(3):210,212.
[15] 丁锦屏,尤 楠,栗村瑞,等.静脉快通道麻醉复合局部浸润麻醉在腹腔镜下脾切除术中的应用效果研究[J].中国医学装备,2020,16(10):125-129.

更新日期/Last Update: 2021-01-05