曹强;腰硬联合麻醉复合丙泊酚用于腔镜下腹股沟斜疝手术的临床观察2.doc

稿号：K205880经本刊编辑部审核需要做以下修改: 应文摘要重译（可代译，）；（这个可以不修,叫编辑翻译） 病例收集时间 x年x月—x年x月; 主要药品补充厂家及国药准字号； 两组药品的区别是什么，表达不清； 核实1.4内容； 结果部分补充t 值，X2 值； 参考文献10条； 腰硬联合麻醉复合丙泊酚用于腔镜下腹股沟斜疝手术的临床观察 曹强 叶太财 周良军 广东省中山市古镇人民医院麻醉科 528421 曹强，男，湖北人，本科，1970.9，副主任医师，麻醉科，中山古镇人民医院， 广东省中山市古镇人民医院麻醉科 528421 【摘要】目的:探讨腰硬联合麻醉复合丙泊酚用于腹股沟斜疝手术的可行性。方法:抽取80例择期行腔镜下腹股沟斜疝手术的患者，美国麻醉师协会（ASA）分级I~II级，随机分成两组：腰硬联合麻醉复合丙泊酚组，40例（治疗组），腰硬联合麻醉复合芬太尼、氟哌利多组，40例（对照组），对比分析两组的治疗效果和不良反应的发生率。结果:治疗组的术中MAP、HR、Spo2较术前有明显下降，与同期的对照组数据比较有非常显著性差异（P＜0.01），从不良反应来看，治疗组的不良反应发生率明显低于对照组，组间比较差异有统计学意义（P＜0.05）。结论:腰硬联合麻醉复合丙泊酚可以安全有效地用于腔镜下腹股沟斜疝手术，同时优于芬太尼、氟哌利多，值得在临床上广泛推广。 【关键词】腰硬联合麻醉；丙泊酚；腔镜；腹股沟斜疝 【Abstract】Objective: To investigate thefeasibility of lumbar epidural Anesthesia propofolforinguinal herniasurgery.Methods:80 case sextracted under laparoscopic inguinal hernia patients undergoing elective surgery,the anesthesiologist American Association(ASA)gradeI ~ II, were randomly divided into two groups:epidural anesthesia Propofol group,40 patients (treatment group)lumbar epidural anesthesia fentanyl,droperidol group,40 patients (control group),comparative analysis ofthe two groups of treatment and the incidence of adverse reactions.Results: The treatment group had significantly decreased MAP, HR, Spo2 than the surgery,the control group data comparison with the same period there was a significant difference(P0.01),from the adverse reaction, the incidence of adverse reactionsin the treatment group significantly lower than the control group,the difference between groups was statistically significant(P0.05).Conclusion:The combined spinal-epidural anesthesia with propofol can be safely and effectively used for laparoscopic inguinal hernia surgery,while better than fentanyl,droperidol,should be popularized in clinical practice. 【Key words】lumbar and epidural joint anaesthesia:propofol;laparoscopy;indirect inguinal hernia 斜疝是最为常见的腹外疝，其发病率较高。而腹股沟斜疝指的就是从腹壁下动脉外侧内环突出的疝囊，向前、向下、向内斜行经过腹股沟管，最终穿出皮下环并进入阴囊。目前临床上治疗该病主要通过腹腔镜下手术治疗，腔镜下腹股沟斜疝手术的麻醉方式一般有两种：气