The effects of analgesia postoperative in patients undergoing gynecologic operation by different anesthetic methods / 中国基层医药

ABSTRACT

Objective To investigate the effects of analgesia postoperative in patients undergoing gynecologic operation by different anesthetic methods.Methods 60 cases with gynaecological postoperative were randomly divided into spinal anesthesia group(A group) 20cases;epidural anesthesia group(B group) 20 cases;general anesthesia group(C group);the changes of respiratory and circulatory function,visual analog scale(VAS) score,patient's overall satisfaction with the analgesic effect and adverse reactions wre observed,Results A,B group after anesthesia MAP [(11.07±1.12) kPa、(11.43±1.56)kPa]lower them before anesthesia[(13.87±1.56)kPa,(14.15±1.83) kPa](t=2.156,t=2.189,P all＜0.05);A、B group pneumoperitoneum 5 min、30 min to RR,A group[(20.76±2.18) times/min、(20.13±2.69) times/min];B group [(22.76±2.15) times/min、(23.73±2.79) times/min]were higher than A,B group before anesthesia [A group (17.57±2.37)times/min,B group (17.87±2.17)times/min](t=2.156,t=2.245,t=2.289,t=3.301,t=2,285,t=2.245,t=2.231,t=2.195,P all＜0.05);The VAS score after 2,6h in C group [(0.8±0.8) points,(0,7±0,7) min]were lower than A,B group [A group (2.4±1.4) points,(1.8±1.0) points;B group(2.8±1.2)points,(2.7±2.4) min](X~2=3.945,X~2=3.911,X~2=4.031,X~2=4.111,P all＜0.05);Among the three groups the overall satisfaction with the analgesic effect and adverse reactions were no significant difference(P all＞0.05).Concluslon The general anesthesia is superior to spinal anesthesia and epidural anesthesia,but the overall analgesic effect between satisfaction was no significant difference.