CAJ | 학술논문

目的通过腰麻、骶管阻滞在PPH手术中的效果及不良反应的比较，确定腰麻用于PPH手术的优越性。方法将80例ASA I~II级行PPH手术的患者随机分为腰麻组（n=40），单纯骶管阻滞组（n=40），记录患者术前、术中和术毕MAP、HR、SpO2的变化和术中牵拉直肠所致不良反应以及患者对手术过程满意度评分等。结果术中击发牵拉直肠时，I组Bp、HR无明显变化，II组Bp、HR较术前明显下降（P＜0.05）；I组术中牵拉直肠反应明显好于II组（P＜0.05）；I组满意度评分明显高于II组（P＜0.05）。结论与单纯骶管阻滞相比，腰麻用于PPH手术，具有麻醉用药量小，效果确切，骶尾神经阻滞完善，能阻滞术中牵拉直肠所致的迷走神经反射，减少不良反应，大大提高了患者的满意度。
목적통과요마、저관조체재PPH수술중적효과급불량반응적비교，학정요마용우PPH수술적우월성。방법장80례ASA I~II급행PPH수술적환자수궤분위요마조（n=40），단순저관조체조（n=40），기록환자술전、술중화술필MAP、HR、SpO2적변화화술중견랍직장소치불량반응이급환자대수술과정만의도평분등。결과술중격발견랍직장시，I조Bp、HR무명현변화，II조Bp、HR교술전명현하강（P＜0.05）；I조술중견랍직장반응명현호우II조（P＜0.05）；I조만의도평분명현고우II조（P＜0.05）。결론여단순저관조체상비，요마용우PPH수술，구유마취용약량소，효과학절，저미신경조체완선，능조체술중견랍직장소치적미주신경반사，감소불량반응，대대제고료환자적만의도。
Objective To compare the clinical efficacy between lumbar anesthesia and sacral block in PPH operation. Methods 80 cases ASA I~II level PPH surgery were randomly divided into group I (lumbar anesthesia group, n=40) and group II (sacral block group, n=40). Preoperative, intraoperative and postoperative MAP, HR, SpO2, adverse reaction induced by rectum stretch and surgical satisfaction scores were statistically compared. Results During surgery, Bp and HR of group II patients decreased significantly (P<0.05), with major adverse reactions (P<0.05) and lower satisfaction scores (P<0.05) compared with group I. Conclusion For PPH surgery, sacral block can effectively reduce the dose of anesthesia, block sacrococcygeal nerve, reduce vagus nerve reflex, and greatly improves the patient's surgery satisfaction, compared with sacral block.