中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2009年
12期
2148-2150
,共3页
麻醉%镇痛%妇科手术
痳醉%鎮痛%婦科手術
마취%진통%부과수술
Anesthesia%Analgesia%Gynecologic surgery
目的 探讨不同麻醉方式对妇科手术患者术后镇痛的影响.方法 60例妇科下腹部手术患者,以麻醉方法 不同随机分为腰-硬联合麻醉(CSEA,A组)20例;硬膜外麻醉(EA,B组)20例;气管内全麻(GA,C组)20例.观察术后呼吸、循环功能变化、视觉模拟评分法(VAS)评分、患者对镇痛效果的总体满意度及不良反应.结果 A、B组麻醉后中心静脉压(MAP)[(11.07±1.12)kPa、(11.43±1.56)kPa]低于麻醉前[(13.87±1.56)kPa、(14.15±1.83)kPa](t=2.156,t=2.189,P均＜0.05);A、B组气腹5、30 min的RR,A组[(20.76±2.18)次/min、(20.13±2.69)次/min];B组[(22.76±2,15)次/min、(23.73±2.79)次/min]高于A、B组麻醉前[A组(17,57±2,37)次/min,B组(17.87±2.17)次/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均＜0,05);C组术后2、6 h,VAS评分[(0.8±0.8)分、(0.7±0.7)分]低于A、B组[A组(2.4±1.4)分、(1.8±1,0)分;B组:(2.8±1.2)分、(2.7±2.4)分](X~2=3.945,X~2=3.911,X~2=4.031,X~2=4.111,P均＜0.05);三组之间镇痛效果的总体满意度及不良反应差异无统计学意义(P均＞0.05).结论 全身麻醉优于腰麻和硬膜外麻醉,但镇痛效果的总体满意度三者之间差异无统计学意义.
目的 探討不同痳醉方式對婦科手術患者術後鎮痛的影響.方法 60例婦科下腹部手術患者,以痳醉方法 不同隨機分為腰-硬聯閤痳醉(CSEA,A組)20例;硬膜外痳醉(EA,B組)20例;氣管內全痳(GA,C組)20例.觀察術後呼吸、循環功能變化、視覺模擬評分法(VAS)評分、患者對鎮痛效果的總體滿意度及不良反應.結果 A、B組痳醉後中心靜脈壓(MAP)[(11.07±1.12)kPa、(11.43±1.56)kPa]低于痳醉前[(13.87±1.56)kPa、(14.15±1.83)kPa](t=2.156,t=2.189,P均＜0.05);A、B組氣腹5、30 min的RR,A組[(20.76±2.18)次/min、(20.13±2.69)次/min];B組[(22.76±2,15)次/min、(23.73±2.79)次/min]高于A、B組痳醉前[A組(17,57±2,37)次/min,B組(17.87±2.17)次/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均＜0,05);C組術後2、6 h,VAS評分[(0.8±0.8)分、(0.7±0.7)分]低于A、B組[A組(2.4±1.4)分、(1.8±1,0)分;B組:(2.8±1.2)分、(2.7±2.4)分](X~2=3.945,X~2=3.911,X~2=4.031,X~2=4.111,P均＜0.05);三組之間鎮痛效果的總體滿意度及不良反應差異無統計學意義(P均＞0.05).結論 全身痳醉優于腰痳和硬膜外痳醉,但鎮痛效果的總體滿意度三者之間差異無統計學意義.
목적 탐토불동마취방식대부과수술환자술후진통적영향.방법 60례부과하복부수술환자,이마취방법 불동수궤분위요-경연합마취(CSEA,A조)20례;경막외마취(EA,B조)20례;기관내전마(GA,C조)20례.관찰술후호흡、순배공능변화、시각모의평분법(VAS)평분、환자대진통효과적총체만의도급불량반응.결과 A、B조마취후중심정맥압(MAP)[(11.07±1.12)kPa、(11.43±1.56)kPa]저우마취전[(13.87±1.56)kPa、(14.15±1.83)kPa](t=2.156,t=2.189,P균＜0.05);A、B조기복5、30 min적RR,A조[(20.76±2.18)차/min、(20.13±2.69)차/min];B조[(22.76±2,15)차/min、(23.73±2.79)차/min]고우A、B조마취전[A조(17,57±2,37)차/min,B조(17.87±2.17)차/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,P균＜0,05);C조술후2、6 h,VAS평분[(0.8±0.8)분、(0.7±0.7)분]저우A、B조[A조(2.4±1.4)분、(1.8±1,0)분;B조:(2.8±1.2)분、(2.7±2.4)분](X~2=3.945,X~2=3.911,X~2=4.031,X~2=4.111,P균＜0.05);삼조지간진통효과적총체만의도급불량반응차이무통계학의의(P균＞0.05).결론 전신마취우우요마화경막외마취,단진통효과적총체만의도삼자지간차이무통계학의의.
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.
