CAJ | 학술논문

目的：对比分析急性阑尾炎手术中腰硬联合麻醉与单独硬脊膜外腔麻醉两种麻醉方式。方法选择我院2012年1月至2014年7月收治的急性阑尾炎患者150例，将其随机分成实验组和对照组各75例。结果两组患者的生命体征情况比较差异无统计学意义（P＞0.05）；两组患者全部阻滞完善，手术要求得到有效满足，但术中对照组患者的牵拉反应程度（I-II级）显著高于实验组患者牵拉反应程度（I-II级），两组比较差异有统计学意义（P＜0.05）；实验组患者8例辅助用药，对照21例，两组患者均没有出现呼吸抑制。实验组患者的术后排气时间和出院时间显著短于对照组患者，两组比较差异有统计学意义（P＜0.05）。结论在急性阑尾炎手术中，采用腰硬联合麻醉能让阻滞平面得到有效提高，值得临床推广应用。
목적：대비분석급성란미염수술중요경연합마취여단독경척막외강마취량충마취방식。방법선택아원2012년1월지2014년7월수치적급성란미염환자150례，장기수궤분성실험조화대조조각75례。결과량조환자적생명체정정황비교차이무통계학의의（P＞0.05）；량조환자전부조체완선，수술요구득도유효만족，단술중대조조환자적견랍반응정도（I-II급）현저고우실험조환자견랍반응정도（I-II급），량조비교차이유통계학의의（P＜0.05）；실험조환자8례보조용약，대조21례，량조환자균몰유출현호흡억제。실험조환자적술후배기시간화출원시간현저단우대조조환자，량조비교차이유통계학의의（P＜0.05）。결론재급성란미염수술중，채용요경연합마취능양조체평면득도유효제고，치득림상추엄응용。
Objective To analysis the waist hard joint anesthesia with acute appendicitis surgery alone two anesthesia epidural anesthesia.Methods Our hospital between January 2012 and July 2012 treated 150 cases of patients with acute appendicitis, wil be randomly divided into experimental group and the control group (n=75). ResultsTwo groups of patients vital signs of comparative diferences had no statistical significance (P>0.05); Two groups of patients al block, to efectively meet the operation requirements, but in the control group patients pul reaction degree (grade I-II) is significantly higher than the experimental group patients pul (grade I-II) reaction degree and the diference comparing the two groups was statisticaly significant (P<0.05); 8 patients with experimental adjuvant, 21 cases, two groups of patients were no respiratory depression. Group of patients with postoperative exhaust time and discharge time was significantly shorter than the control group patients, are similar between the two groups have statistical significance (P<0.05).ConclusionIn acute appendicitis operation, adopting the waist hard joint anesthesia to blockade to efectively improve plane, worthy of clinical popularization and application.