[摘要] 目的 探讨两种麻醉方法对LC患者的应激反应。方法 100例LC患者分为研究组(C组)和对照组(G组),分别采用硬膜外阻滞加全麻和全麻组,检测术前、术中、术后血糖,血胰岛素水平及生命体征和燥动率。结果 C组插管时平均动脉压,心率增高幅度较G组小,气腹后30min时血糖水平无明显变化,但均值G组较C组高,血胰岛素G组较术前低而C组较术前升高,燥动率G组大于C组。结论 硬膜处阻滞复合全麻用于LC手术能减轻机体在围手术期的应激反应。

    [关键词] 硬膜外阻滞; 全身麻醉; 腹腔镜; 胆囊切除

    [中图分类号] R614 [文献标识码] A [文章编号] 1673-9701(2009)23-101-02

    Epidural Anesthesia and General Anesthesia in Laparoscopic Surgery

    HUANG Renyin LI Weidong

    Jingshan County People's Hospital,Hubei 431800,China

    [Abstract] ObjectiveTo discuss patient stress response to two anaesthesia methods of LC. Methods100 examples weredividedinto C group and G group,to observe in front of in the examination technique,the technique,the technique the blood grain,the blood insulin level and the life symptom and the dry pace. ResultsMean arterial pressure intubation,heart rate of C group ofhigher than the G group is small,after 30 minutes the blood glucose has no significant changes,but the average G group than in C group,blood insulin G group than in the preoperative and the C group than in the low pre-operative higher fixed rate of dry G group than C group. ConclusionSubdural Department composite block anesthesia for surgery can reduce the body of LC in the perioperative stress response. ......