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Ann Surg Treat Res:CSEA用于腹腔镜胆囊切除术是安全可靠的

2017-06-07 MedSci MedSci原创

腹腔镜胆囊切除术(LC)通常在全身麻醉(GA)下进行。本研究旨在观察LC时脊髓/硬膜外联合麻醉(CSEA)的有效性、安全性和副作用,并与GA相比较。 该研究纳入49名计划行LC的患者并随机分为GA组(n=25)和CSEA组(n=24)。比较两组术中和术后的副作用及术后疼痛的程度。 所有患者的麻醉及手术均成功完成。CSEA组气腹组织,3位患者(12.5%)出现肩痛,4位患者(16.6%)

腹腔镜胆囊切除术(LC)通常在全身麻醉(GA)下进行。本研究旨在观察LC时脊髓/硬膜外联合麻醉(CSEA)的有效性、安全性和副作用,并与GA相比较。


该研究纳入49名计划行LC的患者并随机分为GA组(n=25)和CSEA组(n=24)。比较两组术中和术后的副作用及术后疼痛的程度。

所有患者的麻醉及手术均成功完成。CSEA组气腹组织,3位患者(12.5%)出现肩痛,4位患者(16.6%)出现腹部不适。所有这些不适在静脉注射芬太尼后恢复。CSEA组术后肩痛明显减少(25%vs.60%)。CSEA组术后恶心呕吐(PONV)的发生率明显减低但差异没有统计学意义(4.2% vs. 20%)。CSEA组,3名患者出现尿滁留(12.5%),2名患者出现腰穿后头痛(8.3%)。所有术后疼痛的参数除了第六个小时,CSEA组均比GA组出现的少,VAS评分更低,更少需要镇痛治疗。

总而言之,该研究发现,CSEA可安全用于腹腔镜胆囊切除术。与GA相比,术区术后疼痛、肩痛更轻和PONV出现更少是CSEA的优势。

原始出处:

Turgut Donmez, Vuslat Muslu Erdem,et al., Laparoscopic cholecystectomy under spinal-epidural anesthesia vs. general anaesthesia: a prospective randomised study. Ann Surg Treat Res. 2017 Mar; 92(3): 136–142. Published online 2017 Feb 24. doi:  10.4174/astr.2017.92.3.136.
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    2017-10-28 sjzlzc015
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    2017-06-08 130****4638

    学习了谢谢分享。

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=1678996, encodeId=750716e899660, content=<a href='/topic/show?id=df0a834328b' target=_blank style='color:#2F92EE;'>#胆囊切除#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83432, encryptionId=df0a834328b, topicName=胆囊切除)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f4d227724361, createdName=huangshifeng, createdTime=Sat Jul 01 03:26:00 CST 2017, time=2017-07-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1796258, encodeId=49671e9625870, content=<a href='/topic/show?id=cf2a1e7818c' target=_blank style='color:#2F92EE;'>#TREAT#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17781, encryptionId=cf2a1e7818c, topicName=TREAT)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=606c2500035, createdName=ms3153534357578991, createdTime=Sun Jul 02 01:26:00 CST 2017, time=2017-07-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1876888, encodeId=35c918e688815, content=<a href='/topic/show?id=67c5319121e' target=_blank style='color:#2F92EE;'>#切除术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31912, encryptionId=67c5319121e, topicName=切除术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9d8a96, createdName=doctorzheng, createdTime=Tue Aug 15 01:26:00 CST 2017, time=2017-08-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1649562, encodeId=aac116495624b, content=<a href='/topic/show?id=0c18533558' target=_blank style='color:#2F92EE;'>#CSE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5335, encryptionId=0c18533558, topicName=CSE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=825923859681, createdName=sjzlzc015, createdTime=Sat Oct 28 10:26:00 CST 2017, time=2017-10-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1276372, encodeId=e39f12e637298, content=<a href='/topic/show?id=768685612db' target=_blank style='color:#2F92EE;'>#腹腔镜#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85612, encryptionId=768685612db, topicName=腹腔镜)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74808, createdName=xinxin088, createdTime=Fri Jun 09 10:26:00 CST 2017, time=2017-06-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1429790, encodeId=7ed21429e902c, content=<a href='/topic/show?id=140783434c7' target=_blank style='color:#2F92EE;'>#胆囊切除术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83434, encryptionId=140783434c7, topicName=胆囊切除术)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d3f94230600, createdName=yangfl07, createdTime=Fri Jun 09 10:26:00 CST 2017, time=2017-06-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1626163, encodeId=a5901626163da, content=<a href='/topic/show?id=b1fe856407b' target=_blank style='color:#2F92EE;'>#腹腔镜胆囊切除术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85640, encryptionId=b1fe856407b, topicName=腹腔镜胆囊切除术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a9de34, createdName=zhangpaul93, createdTime=Fri Jun 09 10:26:00 CST 2017, time=2017-06-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=207938, encodeId=859020e938eb, content=学习了谢谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=00501987275, createdName=130****4638, createdTime=Thu Jun 08 00:15:26 CST 2017, time=2017-06-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=207798, encodeId=9ddd20e79818, content=看看了解一下了, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=90f31612316, createdName=xiaotaiyang1, createdTime=Wed Jun 07 19:42:04 CST 2017, time=2017-06-07, status=1, ipAttribution=)]
    2017-06-07 xiaotaiyang1

    看看了解一下了

    0

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