国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2009年
3期
46-49
,共4页
丙泊酚%芬太尼%局部麻醉%鞍麻%经吻合器痔上黏膜环切术
丙泊酚%芬太尼%跼部痳醉%鞍痳%經吻閤器痔上黏膜環切術
병박분%분태니%국부마취%안마%경문합기치상점막배절술
Propofol%Fentanyl%Local anesthesia%SaddleMa%Procedure for prolapse and hemorrhoids
目的 观察两种不同麻醉方式应用于经吻合器痔上黏膜环切术(PPH)的临床效果及对术后恢复的影响.方法 将60名痔疮患者随机分成A、J两组,A组采用鞍麻的方式;J组采用静脉全麻加局麻的方式.观察围术期MAP、HR及SpO2变化,术中效果及术后并发症,对手术时间、麻醉时间、患者留院时间及留院费用的结果进行比较分析.结果 静脉全麻组在推药后3minMAP明显低于基础值,P<0.01,且SpO2低于基础值;尿潴留两组相比较,静脉全麻组明显少于鞍麻组,P<0.01;术后眩晕两组相比较,静脉全麻组高于鞍麻组,P<0.05.两组麻醉时间相比较有明显统计学差异,P<0.01.全麻组留院时间较鞍麻组更短,费用更少.结论 为开展及普及日间手术,在全麻下行PPH术,术中麻醉效果满意,术后恢复快,可更早离院,节约医疗费用.
目的 觀察兩種不同痳醉方式應用于經吻閤器痔上黏膜環切術(PPH)的臨床效果及對術後恢複的影響.方法 將60名痔瘡患者隨機分成A、J兩組,A組採用鞍痳的方式;J組採用靜脈全痳加跼痳的方式.觀察圍術期MAP、HR及SpO2變化,術中效果及術後併髮癥,對手術時間、痳醉時間、患者留院時間及留院費用的結果進行比較分析.結果 靜脈全痳組在推藥後3minMAP明顯低于基礎值,P<0.01,且SpO2低于基礎值;尿潴留兩組相比較,靜脈全痳組明顯少于鞍痳組,P<0.01;術後眩暈兩組相比較,靜脈全痳組高于鞍痳組,P<0.05.兩組痳醉時間相比較有明顯統計學差異,P<0.01.全痳組留院時間較鞍痳組更短,費用更少.結論 為開展及普及日間手術,在全痳下行PPH術,術中痳醉效果滿意,術後恢複快,可更早離院,節約醫療費用.
목적 관찰량충불동마취방식응용우경문합기치상점막배절술(PPH)적림상효과급대술후회복적영향.방법 장60명치창환자수궤분성A、J량조,A조채용안마적방식;J조채용정맥전마가국마적방식.관찰위술기MAP、HR급SpO2변화,술중효과급술후병발증,대수술시간、마취시간、환자류원시간급류원비용적결과진행비교분석.결과 정맥전마조재추약후3minMAP명현저우기출치,P<0.01,차SpO2저우기출치;뇨저류량조상비교,정맥전마조명현소우안마조,P<0.01;술후현훈량조상비교,정맥전마조고우안마조,P<0.05.량조마취시간상비교유명현통계학차이,P<0.01.전마조류원시간교안마조경단,비용경소.결론 위개전급보급일간수술,재전마하행PPH술,술중마취효과만의,술후회복쾌,가경조리원,절약의료비용.
Objective To investigate two different ways of procedure for prolapse and hemorrhoids (PPH) and the clinical effects of postoperative recovery.Methods 60 patients with hemorrhoids were randomly divided into A,J two groups,A group of saddle Ma manner;J group using local anesthesia plus intravenous anesthesia.Perioperative observa-tion of MAP,HR and SpO2 changes in the effect of intraoperative and postoperative compli- cations of surgery,anesthesia,hospital patients and hospital costs of the time the results of a comparative analysis.Results intravenous anesthesia drugs push in the group after 3minMAP significantly lower than the basis of value,P＜O.O1 and SpO2 lower than the value of the foundation;urinary retention compared two groups of intravenous anesthesia was significantly less than the saddle Ma group,P＜0.01;after vertigo Compared two groups of intravenous anesthesia group than the saddle Ma group,P＜O.05.Narcotic two hours compared statistically significant difference,P＜0.01.Group general anesthesia in hospital longer than a shorter saddle Ma Group at a cost less.Conclusions the popularity of day surgery and anesthesia in PPH patients,satisfied with the effect of anesthesia in surgery,postoperative recovery can be discharged from hospital earlier,saving the cost of health care.
