CAJ | 학술논문

目的：比较气管插管全身麻醉和骶神经阻滞复合全身麻醉用于阴道前后壁修补术患者的术后镇痛效果。方法60例择期行阴道前后壁修补术患者，按入院时间随机分为对照组和研究组，各30例。对照组给予气管插管全身麻醉，研究组给予骶神经阻滞复合全身麻醉。观察两组患者术后1、3、6、12、24 h(T1、T2、T3、T4、T5)疼痛强度，记录患者回病房后24 h内睡眠时间。结果研究组术后镇痛效果好于对照组，差异有统计学意义(P<0.05)。研究组术后睡眠时间短于对照组，差异有统计学意义(P<0.05)。结论骶神经阻滞复合全身麻醉插管为阴道前后壁修补术提供了一种良好而且简便的术后镇痛方式，较单纯全身麻醉插管有明显优势。
목적：비교기관삽관전신마취화저신경조체복합전신마취용우음도전후벽수보술환자적술후진통효과。방법60례택기행음도전후벽수보술환자，안입원시간수궤분위대조조화연구조，각30례。대조조급여기관삽관전신마취，연구조급여저신경조체복합전신마취。관찰량조환자술후1、3、6、12、24 h(T1、T2、T3、T4、T5)동통강도，기록환자회병방후24 h내수면시간。결과연구조술후진통효과호우대조조，차이유통계학의의(P<0.05)。연구조술후수면시간단우대조조，차이유통계학의의(P<0.05)。결론저신경조체복합전신마취삽관위음도전후벽수보술제공료일충량호이차간편적술후진통방식，교단순전신마취삽관유명현우세。
Objective To compare the postoperative analgesia effect of intubation general anesthesia and sacral nerves block combined with general anesthesia in anterior and posterior colporrhaphy. Methods A total of 60 patients, who received anterior and posterior colporrhaphy, were randomly divided into control group and research group according to their admission time, and each group contained 30 cases. The control group received intubation general anesthesia, and the research group was given sacral nerves block combined with general anesthesia. The pain intensity in postoperative 1 h, 3 h, 6 h, and 12 h, 24 h (T1, T2, T3, T4, and T5) were observed, and the sleep times within 24 h after returning into ward were recorded. Results The postoperative analgesia effect of the research group was better than that of the control group, and the difference had statistical significance (P<0.05). The postoperative sleep time was shorter in the research group than the control group, and the difference had statistical significance (P<0.05). Conclusion The application of sacral nerves block combined with general anesthesia intubation can provide a good and simple postoperative analgesia method in anterior and posterior colporrhaphy, which has remarkable advantage than general anesthesia intubation.