CAJ | 학술논문

目的：探讨硬膜外麻醉在脊柱结核病灶清除术中的应用。方法：选取我院收治的260例脊柱结核手术患者为观察对象。将患者随机分为对照组和观察组，对照组采用复合麻醉，观察组采用硬膜外麻醉，比较2组患者麻醉效果及MAR、HR、TV等生命体征的变化情况。结果：对照组患者麻醉优良率为68.46％，观察组患者麻醉优良率为86.92％，2组比较有显著性差异（ P＜0.05）。麻醉后2组患者的MAR、HR、TV、RR、SpO2等指标均有所下降，观察组下降程度明显高于对照组（P＜0.05）。结论：硬膜外麻醉操作简便，麻醉效果显著，是脊柱结核病灶清除术的最佳选择之一，值得临床进一步推广应用。
목적：탐토경막외마취재척주결핵병조청제술중적응용。방법：선취아원수치적260례척주결핵수술환자위관찰대상。장환자수궤분위대조조화관찰조，대조조채용복합마취，관찰조채용경막외마취，비교2조환자마취효과급MAR、HR、TV등생명체정적변화정황。결과：대조조환자마취우량솔위68.46％，관찰조환자마취우량솔위86.92％，2조비교유현저성차이（ P＜0.05）。마취후2조환자적MAR、HR、TV、RR、SpO2등지표균유소하강，관찰조하강정도명현고우대조조（P＜0.05）。결론：경막외마취조작간편，마취효과현저，시척주결핵병조청제술적최가선택지일，치득림상진일보추엄응용。
Objective:To investigate the application of epidural anesthesia in the spinal tuberculosis . Methods:260 patients with spinal tuberculosis were divided into two groups:the experimental group and the control group .The control group used combined anesthesia , and the experimental group used epidural anesthesia .Compared to the effects of two kind of anesthesia methods .Results:The good rate of anesthesia in control group was 68.46%.The good rate of anesthesia in experimental group was 86.92%.The effects of experimental group were better than that of control group , the differences had remarkable statistic significance ( P<0.05) .The indexs of MAR、HR、TV、RR、SpO2 of patients in experimental group were lower than that in control group(P<0.05).Conclusion:Epidural anesthesia is simple,its effect is remarkable, it is one of the best choice for removal of spinal tuberculosis kitchen , and is worthy further applying in clinic .