硬膜外麻醉复合异丙酚靶控输注在妇科腹腔镜手术中的应用（Application of target controlled infusion of propofol combined with epidural anesthesia in gynecologic laparoscopic surgery）.docVIP

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硬膜外麻醉复合异丙酚靶控输注在妇科腹腔镜手术中的应用（Application of target controlled infusion of propofol combined with epidural anesthesia in gynecologic laparoscopic surgery）.doc

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硬膜外麻醉复合异丙酚靶控输注在妇科腹腔镜手术中的应用（Application of target controlled infusion of propofol combined with epidural anesthesia in gynecologic laparoscopic surgery）

硬膜外麻醉复合异丙酚靶控输注在妇科腹腔镜手术中的应用（Application of target controlled infusion of propofol combined with epidural anesthesia in gynecologic laparoscopic surgery） Application of target controlled infusion of propofol combined with epidural anesthesia in gynecologic laparoscopic surgery This article source: paper / Authors: Li Shenghua, Wang Changshe, Abstract: Objective To investigate the feasibility of combined target controlled infusion of epidural anesthesia with propofol in gynecological laparoscopic surgery. Methods 40 cases of patients undergoing gynecological laparoscopic surgery patients, ASA I ~ II, were randomly divided into epidural anesthesia combined with propofol TCI group (Group E) and general anesthesia group (G group), 20 cases in each group. Group E: l1~2 continuous epidural anesthesia, local anesthetic for 1.73% lidocaine carbonate, anesthesia plane control below t6. 3 min fentanyl was injected intravenously 0.1 mg before the pneumoperitoneum, and the target plasma concentration was 1~2 mg/l propofol by intravenous target controlled infusion, and propofol was stopped at the end of the operation. G group: midazolam 0.03 mg/kg, propofol 1.5 ~ 2 mg/kg and 2 g/kg fentanyl and vecuronium 0.1 mg/kg intravenous intubation, intraoperative respiratory control: tidal volume (TV) 8 ml/kg, respiratory frequency (RR) 12 /min, respiratory ratio (I: e) 1: 2, 1% ~ inhalation 2% isoflurane and intermittent intravenous injection of fentanyl and vecuronium to maintain anesthesia, inhalation of isoflurane to stop at the end of operation. In the baseline (T1), pneumoperitoneum (T2), 10 min after pneumoperitoneum (T3), 20 min after pneumoperitoneum (T4) and the end of operation (T5) arterial blood was drawn for pH, arterial oxygen pressure (PaO2), arterial partial pressure of carbon dioxide (PaCO2) analysis, and record the corresponding average artery time pressure (map), heart rate (HR) and pulse oxygen saturation (SpO2). Results 1. The change of PaO2: e in group T2 was higher t