研究并探讨腹腔镜下食管裂孔疝修补术中的麻醉处理方法，为提高腹腔镜下食管裂孔疝修补术的手术麻醉安全性提供指导意见。

回顾性分析2014年1月至2016年12月，新疆自治区人民医院行腹腔镜食管裂孔疝修补术治疗的80例食管裂孔疝患者的临床资料，比较患者术中各时间段(气腹前、气腹后10 min、气腹后30 min)的血流动力学、气道压力、血氧状况等指标，并对患者手术时间、术中出血量、术后意识恢复情况、术中及术后不良反应进行观察。

80例患者均顺利完成腹腔镜食管裂孔疝修补术，其平均手术时间为(87.65±29.42)min，术中平均出血量为(39.43±10.69)ml，术后苏醒时间、拔管时间分别为(7.39±2.51)min、(9.64±2.73)min；术中有1例患者出现低血压，术后有3例患者发生高碳酸血症，经及时处理后均得到有效纠正。术中监测气腹前、气腹后患者的心率、血压等血流动力学指标均未出现明显波动(P>0.05)，平均气道压、呼气末二氧化碳分压、动脉血氧分压、动脉二氧化碳分压、血氧饱和度均在气腹后10 min出现明显波动(P<0.05)，但在气腹后30 min趋于正常平稳(P>0.05)。

腹腔镜下食管裂孔疝修补术中二氧化碳气腹建立后会对患者的呼吸循环指标产生一定的影响，故术中需重视麻醉处理，确保手术麻醉的安全性，以确保顺利完成手术。

To study and explore the anaesthetic method of hiatal hernia repair in laparoscopic esophageal hiatus, in order to improve the anesthesia safety of laparoscopic hiatal hernia repair surgery.

Collected the clinical data of 80 cases with esophageal hiatal hernia during January 2014 to December 2016 who underwent laparoscopic esophageal hiatal hernia repairing operation.The method of anaesthesia and surgery in the treatment were summarized.The airway pressure, oxygen index operative time, intraoperative blood loss, postoperative consciousness recovery, intraoperative and postoperative adverse reactions were observed.

All patients were successfully completed laparoscopic hiatal hernia repair surgery, the time was(87.65±29.42)minutes, the amount of hemorrhage was(39.43±10.69)ml, postoperative recovery time, extubation time was(7.39±2.51)minutes, (9.64±2.73)minutes.There was 1 patient with hypotension, 3 cases of postoperative patients with hypercapnia after timely treatment, have been effectively corrected.Indicators, intraoperative monitoring before pneumoperitoneum, pneumoperitoneum in patients with heart rate, blood pressure and other hemodynamic parameters showed no obvious fluctuation(P>0.05), mean airway pressure, pressure of end-tidal carbon dioxide(PetCO₂), Pressure of Oxygen(PaO₂), pressure of carbon dioxide(PaCO₂), PaO₂ wasin pneumoperitoneum after 10 min had an obvious fluctuation(P<0.05). But 30 minutes later, pneumoperitoneum tended to be smooth(P>0.05).

Laparoscopic esophageal hiatal hernia repair after the establishment of pneumoperitoneum hole in operation may have a certain impact on the respiratory cycle index of patients, we need to pay attention to intraoperative anesthesia, ensure anesthesia and the successful completion of the operation.