[摘要]目的 探讨硬膜外麻醉复合全身麻醉在腹腔镜胆囊切除术中的应用效果。方法 选取2016年11月～2018年2月我院收治的87例实施腹腔镜胆囊切除术患者作为研究对象，根据麻醉方式进行分组，对照组41例患者采取全身麻醉，研究组46例患者采取硬膜外麻醉复合全身麻醉。比较两组患者的临床麻醉效果。结果 研究组患者的麻醉优良率为97.83%，明显高于对照组的85.37%，差异有统计学意义(χ2=4.549，P<0.05)，研究组患者的拔管时间、睁眼时间均短于对照组，疼痛评分低于对照组，差异有统计学意义(P<0.05)。结论 腹腔镜胆囊切除术中应用硬膜外麻醉复合全身麻醉，麻醉效果好，术后睁眼时间、拔管时间短，疼痛轻，具有推广价值。

    [关键词]硬膜外麻醉；全身麻醉；腹腔镜胆囊切除術

    [中图分类号] R656.8 [文献标识码] A [文章编号] 1674-4721(2018)12(b)-0131-03

    [Abstract] Objective To investigate the effect of epidural anesthesia combined with general anesthesia in laparoscopic cholecystectomy. Methods A total of 87 cases of laparoscopic cholecystectomy who were treated in our hospital in November 2016 to February 2018 were selected as subjects. The groups were grouped according to the type of anesthesia ......