中华实验外科杂志
中華實驗外科雜誌
중화실험외과잡지
CHINESE JOURNAL OF EXPERIMENTAL SURGERY
2015年
4期
907-909
,共3页
腹膜透析%腹横肌平面阻滞%全身麻醉
腹膜透析%腹橫肌平麵阻滯%全身痳醉
복막투석%복횡기평면조체%전신마취
Peritoneal dialysis%Nerve block in the level of transversus abdominis muscle%General anesthesia
目的 通过比较右美托咪定复合腹横肌平面神经阻滞与全身麻醉用于肾衰患者行腹膜透析管置入术的观察,探讨患者在该麻醉方式下行腹膜透析管置入术的安全性及有效性.方法 选择肾衰患者80例,随机分为右美托咪定复合腹横肌平面神经阻滞组(D组)和全身麻醉组(G组),分别观察两组患者在麻醉时期平均动脉压(MAP)、心率(HR)及围麻醉期不良反应的发生.结果 两组患者术前一般情况、基础生命体征差异均无统计学意义(P＞0.05);手术开始后5 min,G组MAP(118.50±19.59) mmHg(1 mmHg =0.133 kPa)较D组MAP(109.78±12.16)mmHg升高更加明显(P＜0.05);G组HR(82.03±13.66)次/分,较D组HR(60.51±12.11)次/分升高更加明显(P＜0.05);G组的围麻醉期不良反应的发生例数(8例)明显高于D组(1例,P＜0.05);术后并发症G组(14例)发生例数明显高于D组(2例,P＜0.05).结论 右美托咪定复合腹横肌平面神经阻滞在肾衰患者的腹膜透析管置入手术中麻醉效果良好.
目的 通過比較右美託咪定複閤腹橫肌平麵神經阻滯與全身痳醉用于腎衰患者行腹膜透析管置入術的觀察,探討患者在該痳醉方式下行腹膜透析管置入術的安全性及有效性.方法 選擇腎衰患者80例,隨機分為右美託咪定複閤腹橫肌平麵神經阻滯組(D組)和全身痳醉組(G組),分彆觀察兩組患者在痳醉時期平均動脈壓(MAP)、心率(HR)及圍痳醉期不良反應的髮生.結果 兩組患者術前一般情況、基礎生命體徵差異均無統計學意義(P＞0.05);手術開始後5 min,G組MAP(118.50±19.59) mmHg(1 mmHg =0.133 kPa)較D組MAP(109.78±12.16)mmHg升高更加明顯(P＜0.05);G組HR(82.03±13.66)次/分,較D組HR(60.51±12.11)次/分升高更加明顯(P＜0.05);G組的圍痳醉期不良反應的髮生例數(8例)明顯高于D組(1例,P＜0.05);術後併髮癥G組(14例)髮生例數明顯高于D組(2例,P＜0.05).結論 右美託咪定複閤腹橫肌平麵神經阻滯在腎衰患者的腹膜透析管置入手術中痳醉效果良好.
목적 통과비교우미탁미정복합복횡기평면신경조체여전신마취용우신쇠환자행복막투석관치입술적관찰,탐토환자재해마취방식하행복막투석관치입술적안전성급유효성.방법 선택신쇠환자80례,수궤분위우미탁미정복합복횡기평면신경조체조(D조)화전신마취조(G조),분별관찰량조환자재마취시기평균동맥압(MAP)、심솔(HR)급위마취기불량반응적발생.결과 량조환자술전일반정황、기출생명체정차이균무통계학의의(P＞0.05);수술개시후5 min,G조MAP(118.50±19.59) mmHg(1 mmHg =0.133 kPa)교D조MAP(109.78±12.16)mmHg승고경가명현(P＜0.05);G조HR(82.03±13.66)차/분,교D조HR(60.51±12.11)차/분승고경가명현(P＜0.05);G조적위마취기불량반응적발생례수(8례)명현고우D조(1례,P＜0.05);술후병발증G조(14례)발생례수명현고우D조(2례,P＜0.05).결론 우미탁미정복합복횡기평면신경조체재신쇠환자적복막투석관치입수술중마취효과량호.
Objective To compare the effect of nerve block in the level of transversus abdominis muscle combined with dexmedetomidine vs.general anesthesia in the catheterization of peritoneal dialysis in patients with renal failure.Methods Eighty patients with renal failure were chosen and divided randomly into two groups.One group received nerve block in the level of transverses abdomins muscle (D group),and the other received general anesthesia (G group).The changes in mean arterial pressure (MAP),heart rate (HR) and the incidence of adverse reactions were recorded during the perioperative period.Results There was no significant difference in general conditions and vital signs between the two groups.Five min after the operation started,the MAP in G group (118.50 ±19.59) mmHg (1 mmHg =0.133 kPa) was higher than that in D group (109.78 ±12.16) mmHg; The heart rate in G group (82.03 ± 13.66) bpm was quicker than that in D group (60.51 ± 12.11) bpm.Furthermore,the incidence of adverse reactions in G group (8 cases) in perioperative period was higher than that in D group (one case).The incidence of postoperative complications in G group (14) was higher than that in D group (two).Conclusion Nerve block in the level of transversus abdominis muscle combined with dexmedetomidine is effective and safe when used in catheterization of peritoneal dialysis in patients with renal failure.It may be a better anaesthetic method in patients with renal failure in future.
