Application of Epidural Block Combined with General Anesthesia in Lapa-roscopic Hysterectomy
LIU Tong
LIN Weiwei
CHEN Benzhen
CHEN Dongwen
YANG Xu
GAO Hongguang
ZHOU Yan
YAN Wei
Abstract：Objective To analyze the application effect of epidural block combined with general anesthesia in laparo-scopic hysterectomy for cervical cancer and its effects on pain and stress indexes.Methods A total of 122 patients who un-derwent laparoscopic hysterectomy for cervical cancer from February 2018 to April 2021 were selected and divided into group A(receiving general anesthesia,n =60)and group B(receiving epidural block+general anesthesia,n =62)according to dif-ferent anesthesia methods.Anesthetic effect,anesthesia related time,pain,mean arterial pressure(MAP),heart rate(HR),norepinephrine(NE),epinephrine(E)and adverse reactions were compared between the two groups.Results The anesthetic effect of group B was higher than that of group A(P＜0.05).The recovery time of spontaneous breathing,extuba-tion and recovery time of group B were shorter than those of group A,and the visual analog scale(VAS)score of group B was lower than that of group A(P＜0.01).After pneumoperitoneum,the levels of MAP,HR,NE and E in the two groups were higher than those before anesthesia,but lower in group B than in group A(P＜0.05,P＜0.01).After the operation,the MAP,HR,NE and E levels in group B were lower than those in group A(P＜0.01).The incidence of adverse reactions in group B was lower than that in group A[(4.84%,3/62)vs.(16.67%,10/60)](P＜0.05).Conclusion Epidural block combined with general anesthesia in laparoscopic hysterectomy for cervical cancer has a significant effect,which can re-lieve pain,and reduce postoperative stress reaction,showing good safety.
Keywords：Uterine cervical neoplasmsAnesthesiaepiduralGeneral anesthesiaLaparoscopesHysterectomyPainNorepinephrineEpinephrine
Publication Date：2023-08-22
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 117-121 )