中国医学装备
中國醫學裝備
중국의학장비
CHINA MEDICAL EQUIPMENT
2014年
11期
119-121
,共3页
腰硬联合麻醉%连续硬膜外麻醉%子宫肌瘤切除术
腰硬聯閤痳醉%連續硬膜外痳醉%子宮肌瘤切除術
요경연합마취%련속경막외마취%자궁기류절제술
Combined spinal-epidural anesthesia%Epidural anaesthesia%Uterine myomectomy
目的：比较腰硬联合麻醉与持续硬膜外麻醉在子宫肌瘤手术中的临床疗效。方法：选择90例行子宫肌瘤切除的患者资料，随机分为观察组和对照组，每组45例。对照组采用硬膜外麻醉方法；观察组采用腰硬联合麻醉方法。术中对患者血压(BP)、心率(HR)和手术牵拉反应进行监测，比较两组患者的麻醉效果和不良反应发生情况。结果：①两组患者在麻醉期间血压均有所降低，观察组患者收缩压和舒张压降低显著，其差异有统计学意义(x2=5.232，x2＝6.251；P＜0.05)；②观察组的麻醉起效时间、阻滞完全时间及局麻药的用量与对照组相比差异显著，具有统计学意义(x2＝6.278，x2＝9.674，x2＝12.256；P＜0.05)；③观察组麻醉优良率均高于对照组，两组比较差异有统计学意义(x2＝16.576，P＜0.01)。结论：在子宫肌瘤手术中，腰硬联合麻醉较硬膜外阻滞麻醉效果好，是一种值得推广使用的麻醉方法。
目的：比較腰硬聯閤痳醉與持續硬膜外痳醉在子宮肌瘤手術中的臨床療效。方法：選擇90例行子宮肌瘤切除的患者資料，隨機分為觀察組和對照組，每組45例。對照組採用硬膜外痳醉方法；觀察組採用腰硬聯閤痳醉方法。術中對患者血壓(BP)、心率(HR)和手術牽拉反應進行鑑測，比較兩組患者的痳醉效果和不良反應髮生情況。結果：①兩組患者在痳醉期間血壓均有所降低，觀察組患者收縮壓和舒張壓降低顯著，其差異有統計學意義(x2=5.232，x2＝6.251；P＜0.05)；②觀察組的痳醉起效時間、阻滯完全時間及跼痳藥的用量與對照組相比差異顯著，具有統計學意義(x2＝6.278，x2＝9.674，x2＝12.256；P＜0.05)；③觀察組痳醉優良率均高于對照組，兩組比較差異有統計學意義(x2＝16.576，P＜0.01)。結論：在子宮肌瘤手術中，腰硬聯閤痳醉較硬膜外阻滯痳醉效果好，是一種值得推廣使用的痳醉方法。
목적：비교요경연합마취여지속경막외마취재자궁기류수술중적림상료효。방법：선택90례행자궁기류절제적환자자료，수궤분위관찰조화대조조，매조45례。대조조채용경막외마취방법；관찰조채용요경연합마취방법。술중대환자혈압(BP)、심솔(HR)화수술견랍반응진행감측，비교량조환자적마취효과화불량반응발생정황。결과：①량조환자재마취기간혈압균유소강저，관찰조환자수축압화서장압강저현저，기차이유통계학의의(x2=5.232，x2＝6.251；P＜0.05)；②관찰조적마취기효시간、조체완전시간급국마약적용량여대조조상비차이현저，구유통계학의의(x2＝6.278，x2＝9.674，x2＝12.256；P＜0.05)；③관찰조마취우량솔균고우대조조，량조비교차이유통계학의의(x2＝16.576，P＜0.01)。결론：재자궁기류수술중，요경연합마취교경막외조체마취효과호，시일충치득추엄사용적마취방법。
Objective:To comparative study the clinical effect of combined spinal-epidural anesthesia and combined epidural anesthesia in uterine myomectomy.Methods:Totally 90 cases of patients with uterine myomectomy in our hospital from March 2012 to March 2013 were randomly divided into observation group and the control group, 45 patients in the control group were given epidural anesthesia, and observation group were given combined spinal-epidural anesthesia. BP, HR and surgical traction reaction were monitored in the operation and the effects of anesthesia and adverse events of the two groups were compared.Results: (1) Blood pressure of patients in two groups was decreased during anesthesia. Systolic pressure (x2=5.232,P<0.01) and diastolic blood pressure (x2=6.251,P<0.05) of patients in observation group were lower than control groups. The difference was statistically significant. (2)Patients of observation group showed shorter anesthesia onset time (x2=6.278,P<0.05) and completing time (x2=9.674,P<0.05), lower local anesthetics dosage (x2=12.256,P<0.05), better evaluation of anesthesia, and fewer adverse reactions. The difference was statistically significant (x2=16.576,P<0.01). (3)Anesthesia excellent rate in observation group were higher than that of control group, the difference was statistically significant (P<0.01).Conclusion: Combined spinal-epidural anesthesia has better anesthesia effects in uterine myomectomy than epidural anesthesia. And it is a worthy use of anesthesia.
