• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >Usefulness of epidural anesthesia in gynecologic laparoscopic surgery for infertility in comparison to general anesthesia.
【24h】

Usefulness of epidural anesthesia in gynecologic laparoscopic surgery for infertility in comparison to general anesthesia.

机译：与全身麻醉相比，硬膜外麻醉在妇科腹腔镜手术中对不孕症的有用性。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: Although the advantages of epidural anesthesia in open surgery have been established, its usefulness in the setting of laparoscopic surgery remains to be studied. METHODS: Patients undergoing laparoscopic surgery for infertility were randomly administered epidural anesthesia (group A, n = 11) or general anesthesia (group B, n = 9). The operation was performed under 4 mmHg pneumoperitoneum and in the 20 degrees Trendelenburg position. Respiratory function tests using a spirometer and blood gas analysis were performed during the intra- or perioperative period. Pain status was evaluated with visual analog scale scoring. The number of postoperative recovery days needed to resume daily activities was obtained by a questionnaire. RESULTS: Respiratory rate, minute volume, P(a)CO2, % vital capacity (VC), and forced expiratory volume in 1 s (FEV1) % were virtually constant throughout the study period in group A, whereas %VC was decreased immediately after operation in group B (p < 0.05). Minute volume immediately after operation was significantly increased in group B compared with group A (p < 0.01), suggesting shallow respiration in women undergoing general anesthesia. Observed pain scores on abdominal pain, shoulder pain, and dyspnea were very low during operation in group A. Pain scores immediately and 3 h after operation were also minimal in group A, whereas abdominal pain scores at these points were significantly higher in group B than those in group A (both p < 0.01). The number of days required for a half reduction in wound pain, trotting, and full recuperation for group A were less than those for group B (p < 0.05). CONCLUSIONS: Epidural anesthesia, when used in laparoscopic surgery for infertility treatment, has advantages over general anesthesia in terms of analgesic effects, postoperative respiratory function, and a return to preoperative daily activities.
机译：背景：尽管已经确立了硬膜外麻醉在开放手术中的优势，但其在腹腔镜手术中的实用性仍有待研究。方法：对因不育而进行腹腔镜手术的患者随机给予硬膜外麻醉（A组，n = 11）或全身麻醉（B组，n = 9）。手术在4 mmHg气腹下并在特伦德伦伯卧位20度进行。在术中或围术期使用肺活量计进行呼吸功能测试和血气分析。通过视觉模拟量表评分评估疼痛状态。恢复日常活动所需的术后恢复天数是通过问卷获得的。结果：在整个研究期间，A组的呼吸频率，分钟呼吸量，P（a）CO2，％肺活量（VC）和1秒强迫通气量（FEV1）％几乎恒定，而％VC在服用后立即下降B组手术（p <0.05）。与A组相比，B组术后即刻呼吸量显着增加（p <0.01），表明接受全身麻醉的妇女呼吸较浅。 A组在手术中观察到的腹痛，肩痛和呼吸困难的疼痛评分非常低。A组立即和术后3h的疼痛评分也很小，而B组在这些点的腹痛评分显着高于B组A组的患者（均P <0.01）。 A组的伤口疼痛，小跑和完全康复所需的时间减少一半，少于B组（p <0.05）。结论：硬膜外麻醉在腹腔镜手术中用于不育症治疗时，在止痛效果，术后呼吸功能和恢复术前日常活动方面具有优于全身麻醉的优势。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号