【摘要】：目的:探討艾司洛爾應(yīng)用于婦科腹腔鏡手術(shù)的麻醉效果。方法:將納入研究的60例行婦科腹腔鏡手術(shù)患者隨機(jī)分為實驗組(30例)和對照組(30例),所有患者均采用靜脈全麻,實驗組氣腹后給予艾司洛爾,對照組注入生理鹽水。比較兩組麻醉誘導(dǎo)前、氣管插管時、氣腹后10min、氣腹后30min、拔管時、拔管后5min的麻醉深度、血流動力學(xué)和應(yīng)激指標(biāo)水平的變化情況。結(jié)果:兩組各個時刻的麻醉深度差異無統(tǒng)計學(xué)意義(P0.05);實驗組從氣管插管時到拔管后5min的血流動力學(xué)指標(biāo)水平(HR、MAP)以及應(yīng)激指標(biāo)水平(ACTH、Cor、AngⅡ、E、NE和GLU)均穩(wěn)定于對照組,差異具有統(tǒng)計學(xué)意義(P0.05)。結(jié)論:艾司洛爾有助于維持心率和血壓平穩(wěn),減輕機(jī)體應(yīng)激反應(yīng),提高婦科腹腔鏡手術(shù)麻醉安全。
[Abstract]:Objective: to investigate the anesthetic effect of esmolol in gynecological laparoscopic surgery. Methods: sixty patients undergoing gynecologic laparoscopic surgery were randomly divided into experimental group (n = 30) and control group (n = 30). All patients were given general intravenous anesthesia, the experimental group was given esmolol after pneumoperitoneum, and the control group was injected with normal saline. The anesthetic depth, hemodynamics and stress index of 5min before anesthesia induction, during tracheal intubation, 10 min after pneumoperitoneum, 30 min after pneumoperitoneum and 30 min after extubation were compared between the two groups. Results: there was no significant difference in anesthetic depth between the two groups at every time (P0.05), the levels of 5min hemodynamic index (HR,MAP) and stress index (ACTH,Cor,Ang 鈪，

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