[摘要] 目的 分析COPD患者腹腔镜胆囊切除术的麻醉方法。 方法 选取84例患者随机分为A组和B组两组，每组各42例。A组行单纯全麻，B组行全麻复合硬膜外麻醉。对比两组术中情况。 结果 两组在t3时MAP组间比较差异显著，其他时间各指标组间比较均无统计学差异(P>0.05)；A组患者t3、t4时MAP与PetCO2和前一时段比较差异显著(P<0.05)，B组患者t3及t4时PetCO2和前一时段比较差异显著(P<0.05)，其他时段组内比较无统计学差异(P>0.05)。A组患者睁眼时间、拔管时间、意识恢复时间等均明显小于B组，差异具有统计学意义(P<0.05)。 结论 COPD患者腹腔镜胆囊切除术中应用全麻复合硬膜外麻醉麻醉效果更佳。

    [关键词] COPD；腹腔镜胆囊切除术；麻醉

    [中图分类号] R614 [文献标识码] B [文章编号] 2095-0616(2015)13-156-03

    [Abstract] Objective To analyze anesthesia methods of COPD patients with laparoscopic cholecystectomy. Methods 84 patients were randomly divided into group A and group B with 42 patients in each. Group A received general anesthesia while group B received combined general-epidural anesthesia. Intraoperative conditions between the two groups were compared. Results MAP at t3 between two groups had a significant difference and there was no significant differences in every index at other time between two groups (P>0.05)； MAP and PetCO2 at t3 and t4 of patients and those in group A in a previous period differed significantly (P<0.05) ......