慢性阻塞性肺疾病患者行腹腔镜胆囊切除术的临床麻醉分析.docVIP

精品论文 参考文献 慢性阻塞性肺疾病患者行腹腔镜胆囊切除术的临床麻醉分析 山东省泰山医学院附属医院 山东 泰安 271000 【摘要】目的: 探讨慢性阻塞性肺疾病（COPD）患者行腹腔镜胆囊切除术的临床麻醉方法及其效果；方法: 选取2015年1月-2015年12月我院收治的慢性阻塞性肺疾病患者60例，随机分为对照组同研究组各30例，对照组患者使用单纯全麻，研究组患者使用全麻复合硬膜外麻醉，对比两组患者的麻醉效果；结果:在两组患者的麻醉结果方面，研究组患者的麻醉效果显著优于对照组，差异有统计学意义（P＜0.05）；结论: 慢性阻塞性肺疾病患者行腹腔镜胆囊切除术时，应用全麻复合硬膜外麻醉的麻醉质量理想，临床上应当推广应用。 【关键词】慢性阻塞性肺疾病；腹腔镜胆囊切除术；全麻；全麻复合硬膜外麻醉； 【中图分类号】R187.2【文献标识码】A【文章编号】1001-5213(2016)09-0019-01 Chronic obstructive pulmonary disease patients with laparoscopic cholecystectomy analysis of the clinical anesthesia Mengyong Han tingting Shandong taishan medical school affiliated hospital taian 271000 China 【Abstract】 Objective: To investigate the effects of chronic obstructive pulmonary disease (COPD) method and clinical effect of laparoscopic cholecystectomy in patients anesthesia; Methods: 60 patients with chronic obstructive pulmonary disease from January 2015 -2015 year in December in our hospital were randomly divided into control group and study group with 30 cases in each group, the control group was treated with simple study group of patients using general anesthesia, general anesthesia combined with epidural anesthesia, the anesthesia effect of the two groups were compared; Results: two groups of patients in anesthesia results, the anesthetic effect of patients in the study group was significantly better than the control group, the difference was statistically significant (P lt; 0.05); Conclusion: chronic obstructive pulmonary disease patients undergoing laparoscopic cholecystectomy during the operation, the quality of anesthesia ideal application of general anesthesia combined with epidural anesthesia, the clinical application should be promoted. 【 Key words 】 Chronic obstructive pulmonary disease;Laparoscopic cholecystectomy.General anesthesia;General anesthesia compound epidural anesthesia. 腹腔镜胆囊切除术(LC)逐渐取代常规开腹切除手术，成为胆囊良性疾病治疗的金标准。该术式有着痛苦轻、创伤小、恢复块、失血少、失液少以及并发症少等优点，广泛应用到腹腔疾病治疗当中[1]。不过COPD患者因为其特殊的生理病理特点，LC手术有着比较高的难度与风险。为探讨探讨慢性阻塞性肺疾病（COPD）