Comparative effects on three anesthesia methods in gynecologic laparoscopic surgery

Objective: To investigate the clinical outcomes of three anesthesia methods in gynecologic laparoscopic surgery. Methods: 300 patients performed gynecologic laparoscopic surgery from January, 2014 to January, 2016 in this hospital were divided into 3 groups by random number method as general anesthesia group, continuous epidural anesthesia group and general anesthesia combined with continuous epidural anesthesia group, with 100 cases in each group. Anesthesia effects of three groups and the changes of oxygen saturation (SpO2), heart rate (HR), mean arterial pressure (MAP) in different time orders (before pneumoperitoneum, 10 min after pneumoperitoneum and 10 min after deflation) were compared, and three groups’ adverse reactions, analgesia, muscle relaxation and patients’ anesthetic satisfaction were observed and recorded. Results: Compared with general anesthesia group and continuous epidural anesthesia group, general anesthesia combined with continuous epidural anesthesia group had obvious advantages in anesthesia effect, hemodynamic variables and patients’ satisfaction, besides, the adverse reaction rate in this group decreased significantly, and the differences had a statistical significance (P<0.05). Meanwhile, in general anesthesia combined with continuous epidural anesthesia group, all patients’ analgesia was excellent, and they were all satisfied with the effects of muscle relaxation. Conclusion: General anesthesia combined with continuous epidural anesthesia has a good effect on gynecologic laparoscopic surgery, with a low occurrence of adverse reactions, high safety and a little impact of respiration and circulation, which is worth to promote clinical applications in gynecologic laparoscopic surgery.