【摘 要】目的：探讨对腹腔镜胆囊切除术患者采用单纯全麻与全麻复合硬膜外麻醉的效果差异。方法：选择我院2019年1月至2019年8月收治腹腔镜胆囊切除术患者计180例，随机分为全身麻醉对照组(n=90)与全麻复合硬膜外麻醉实验组(n=90)，对比麻醉效果。结果：实验组诱导后、基础阶段、插管后、拔管后的心率以及收缩压均小于对照组，P<0.05。实验组烦躁发生率低于对照组，P<0.05，拔管时间与苏醒时间均短于对照组，P<0.05。结论：对腹腔镜胆囊切除术患者采用全麻复合硬膜外麻醉方案能够有效维持患者心率与血压的稳定，有利于患者术后的尽快苏醒，且可降低烦躁的发生率。

    【关键词】腹腔镜胆囊切除术;全身麻醉;硬膜外麻醉

    【中图分类号】R614 【文献标识码】A 【文章编号】1002-8714(2020)02-000-02

    【Abstract】Objective： to investigate the difference in efficacy of epidural anesthesia between general anesthesia and general anesthesia in laparoscopic cholecystectomy. Methods： 180 patients with laparoscopic cholecystectomy admitted to our hospital from January 2019 to August 2019 were randomly divided into general anesthesia control group (n=90) and general anesthesia combined with epidural anesthesia experimental group (n=90) ......