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Four different anesthetic methods on the impact of laparoscopic surgery

Asthma symptoms and reduce the attack with good effect, and the treatment was well tolerated. Key words asthma; the elderly; budesonide 【Key Words】 R562.25 Document code】【A】【Article ID 1003-6350 (2009) 01-052-022004 on January 1 January 2007 ,[link widoczny dla zalogowanych], we apply the budesonide treatment of senile bronchial asthma, 54 patients with satisfactory results. Are reported as follows: 1 General Information 1.1 Data and Methods 54 cases of elderly patients with asthma (all consistent with the Chinese Medical Association 1997 Institute of Respiratory Diseases Asthma Study Group diagnostic criteria developed), of which 28 males and 26 females; Age> 50 years old, weight 44-70kg, moderate degree of asthma, FEV% and 60% to 80%. All patients had no serious heart, liver, renal insufficiency, the first 2 weeks without treatment Author: Chen United States (1965 a), F,[link widoczny dla zalogowanych], Zhuang, Jiang, Hunan Province, Chinese, physician. Systemic infection, especially acute respiratory infection, within 1 month of unused glucocorticoid treatment. 1.2 The group will be 54 cases were randomly divided into two groups: (1) in the treatment group of 27 patients, 14 males and 13 females. The average age of 62.3 years,[link widoczny dla zalogowanych], 17 cases of nocturnal cough, daytime attack in 4 cases, both during the day and night attack in 6 cases. (2) control group of 27 patients, 14 male and female l3 cases. The average age of 63.8 years, 15 cases of nocturnal cough, daytime attack in 5 cases, both day and night attack in 7 cases. Data were compared, the difference was not statistically significant (P> 0.05), comparable. An impact, while the Trendelenburg position and increase the role of gas pressure on the diaphragm, so many gynecological laparoscopic surgery under general anesthesia with tracheal intubation. However, cardiovascular responses to tracheal intubation than the obvious, but superficial spinal anesthesia epidural anesthesia can be eliminated to some extent the stretch reflex during surgery, but it is difficult to protect the airway open. We use the laryngeal mask anesthesia plus epidural both provide good abdominal muscle relaxation and analgesia, but also reduce the analgesic drug, the amount of muscle relaxants, which can effectively improve the spinal epidural anesthesia in awake patients , mental stress and other adverse reactions, and the laryngeal mask anesthesia ventilation to maintain simple, easy J. LMA insertion process,[link widoczny dla zalogowanych], due to laryngeal mask airway and throat of no direct mechanical stimulation, it is slightly hemodynamics J. Therefore, laparoscopic surgery, in the protection of the airway, the laryngeal mask plus epidural anesthesia than epidural plus light general anesthesia, in a stable hemodynamics, the laryngeal mask plus epidural anesthesia than tracheal intubation general anesthesia.
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