【摘 要】目的：探讨老年腹腔镜胆囊切除患者采取全身麻醉复合硬膜外麻醉临床观察。方法：回顾我院行腹腔镜切除胆囊的老年患者，随机分为对照组(全麻)和观察组(全麻复合硬膜外麻醉)。比较两组麻醉效果。结果：观察组患者在各个时间段监测值都比较稳定，对照组患者波动幅度较大，两组比较，P<0.05；两组患者在术后完全清醒时间、拔管时间、吞咽反射时间比较P<0.05。结论：全身麻醉复合硬膜外麻醉能够降低患者的应激反应，降低药物对患者的呼吸系统和循环系统的抑制，维持血流动力学稳定，明显降低患者心肌耗氧量，利于术后患者清醒。

    【关键词】全麻;硬膜外麻醉;腹腔镜胆囊切除

    【中图分类号】R 614 【文献标识码】A 【文章编号】1004- 7484(2012)05- 0305- 01

    【Abstract 】Objective: To explore the elderly patients undergoing laparoscopic cholecystectomy by general anesthesia combined with epidural anesthesia clinical observation. Methods: a retrospective review of our hospital gallbladder in laparoscopic cholecystectomy in the elderly patients, were randomly divided into control group ( general anesthesia ) and observation group ( general anesthesia combined with epidural anesthesia ). Comparison of anesthetic effect of two groups. Results: in the observation group in each time period monitoring values are relatively stable, the control group patients fluctuates greatly, between the two groups, P <0.05; two groups of patients in the postoperative awake time, extubation time, swallowing reflex time comparison of P<0.05. Conclusion: general anesthesia combined with epidural anesthesia can reduce patients’ response to stress, reducing drugs on patients with respiratory system and circulatory system inhibition, maintaining hemodynamic stability, was significantly reduced in patients with myocardial oxygen consumption, favorable postoperative patients awake. ......