摘 要：目的：比较椎管内麻醉联用面罩吸入异氟醚在腹腔镜手术麻醉的可行性及效果。方法：随机选择腹腔镜下胆囊手术患者60例，ASAⅠ～Ⅱ级，随机分两组，Ⅰ组(n=30)采用椎管内麻醉联用面罩吸入异氟醚麻醉,Ⅱ组(n=30)采用全麻插管麻醉。结果：Ⅰ组麻醉后气腹前SBP、DBP、HR的略有波动，气腹后恢复，且PH值略下降，PaCO2略升高，但在正常范围内；Ⅱ组SBP、DBP 、HR在麻醉诱导插管及拔管时波动大，PH值，PaCO2均在正常范围内。两组病人的SPO2、PETCO2均无明显变化 (P>0.05)。结论：椎管内麻醉联用面罩吸入异氟醚麻醉与气管内全麻插管都可满足腹腔镜手术，而椎管内麻醉联用面罩吸入异氟醚麻醉具有镇痛完全，苏醒快，副作用少,术后病人安静、无烦躁、舒适。

    关健词：椎管内麻醉；吸入麻醉； 全麻；腹腔镜

    Application of Intravertebral Anesthesia Combined with Inhaling

    Isoflurane by veil in Celioscope Surgery

    CHEN Mian-sheng, WU Li-wen, ZHENG Liang-jie

    (The Center Hospital of Shantou, Guangdong Shantou 515031, China)

    Abstract： Objective： To compare the feasibility and effect of intravertebral anesthesia combined with inhaling isoflurane by veil in anesthesia of celioscope operation. Method： Sixty patients, ASAⅠ～Ⅱ,undergoing cholecyst surgery by celioscope were randomly divided into two groups: intravertebral anesthesia combined with inhaling isoflurane (groupⅠ,n=30) and general anesthesia by intubation (groupⅡ,n=30). Result： In groupⅠ,SBP、DBP、HR fluctuated a little before gas abdomen and recovered after gas abdomen, PH fell and PaCO2 rose slightly, it was in normal range. In groupⅡ,SBP、DBP、HR fluctuated obviously at inducement、intubation and extubation of anesthesia, PH and PaCO2 was in normal range. SPO2、PETCO2 was no significant difference in two groups. Conclusion： Intravertebral anesthesia combined with inhaling isoflurane by veil and general anesthesia by intubation is satisfied for celioscope operation. Intravertebral anesthesia combined with inhaling isoflurane by veil is completed analgesia, quick recovery, less side-effect and quiet、no fidget、comfort after surgery. ......