CAJ | 학술논문

目的比较小剂量布比卡因复合芬太尼腰麻与单纯应用布比卡因腰麻，在肛肠手术中应用的麻醉效果和术后并发症。方法行肛肠手术患者随机分试验组和对照组。实验组腰麻为0.75%布比卡因0.6 ml+芬太尼0.3 ml+50%葡萄糖0.1 ml，对照组腰麻为0.75%布比卡因1.0 ml。腰麻成功后，观察术中麻醉效果，术后运动神经阻滞时间、镇痛时间、头痛及尿潴留的情况。结果两组均达到满意麻醉效果，实验组尿储留、术后头痛发生率低于对照组。结论小剂量布比卡因复合芬太尼腰麻与单纯用布比卡因腰麻相比较，在取得相同麻醉效果的同时，应用的布比卡因剂量更小。患者手术后恢复快，并发症少。
목적비교소제량포비잡인복합분태니요마여단순응용포비잡인요마，재항장수술중응용적마취효과화술후병발증。방법행항장수술환자수궤분시험조화대조조。실험조요마위0.75%포비잡인0.6 ml+분태니0.3 ml+50%포도당0.1 ml，대조조요마위0.75%포비잡인1.0 ml。요마성공후，관찰술중마취효과，술후운동신경조체시간、진통시간、두통급뇨저류적정황。결과량조균체도만의마취효과，실험조뇨저류、술후두통발생솔저우대조조。결론소제량포비잡인복합분태니요마여단순용포비잡인요마상비교，재취득상동마취효과적동시，응용적포비잡인제량경소。환자수술후회복쾌，병발증소。
Objective To compare the smal dose of lumbar hemp Bupivacaine compound fentanyl and simple application lumbar hemp Bupivacaine, in the applications of anorectal surgery anesthesia ef ects and postoperative complications. Methods Patients with anorectal surgery random group and the control group. Experimental group waist linen 0.75%than paid 0.6 ml+ fentanyl 0.3 ml+50%glucose 0.1 ml, lumbar hemp in the control group was 0.75% paid 1.0 ml. After the success of the lumbar hemp, observation of intraoperative anesthetic ef ect, postoperative motor nerve block time, analgesia, headache and urinary retention. Results Two groups achieved satisfactory anesthetic ef ect, lower incidence of urine retention, postoperative headache controls. Conclusion Smal dose of lumbar hemp Bupivacaine compound fentanyl compared with simple lumbar hemp cloth than because, at the same anesthesia ef ect at the same time, the application of less than paid dose. Patients after the operation, faster recovery, fewer complications.