山西职工医学院学报
山西職工醫學院學報
산서직공의학원학보
Journal of Shanxi Medical College for Continuing Education
2015年
4期
10-12
,共3页
骶管阻滞%腰麻%日间手术
骶管阻滯%腰痳%日間手術
저관조체%요마%일간수술
caudal block%spinal anesthesia%daily surgery
目的：观察比较骶管阻滞和小剂量布比卡因腰麻用于肛肠科日间手术的麻醉效果，为临床肛肠科日间手术提供一种行之有效的麻醉方法。方法：选取择期行肛肠科日间手术的患者200例，随机分为 A、B 两组，A组采用骶管阻滞法进行麻醉，B 组采用小剂量布比卡因进行腰麻。对比两组患者注药前后血压、心率和血氧饱和度等生命体征的变化；记录感觉神经被阻滞的起效时间，持续时间，Bromage 评分以及恶心、呕吐和尿潴留等不良反应的发生率。结果：麻醉注药前后两组患者的血压、心率、血氧饱和度和 Bromage 评分无统计学差异（P ﹥0．05），感觉神经阻滞起效时间，持续时间差异具有统计学意义（P ﹤0．05），B 组起效时间快，持续时间短。200例患者均未出现恶心呕吐以及尿潴留的情况。结论：小剂量布比卡因腰麻用于肛肠科日间手术具有血流动力学稳定，起效快，持续时间短等优点。
目的：觀察比較骶管阻滯和小劑量佈比卡因腰痳用于肛腸科日間手術的痳醉效果，為臨床肛腸科日間手術提供一種行之有效的痳醉方法。方法：選取擇期行肛腸科日間手術的患者200例，隨機分為 A、B 兩組，A組採用骶管阻滯法進行痳醉，B 組採用小劑量佈比卡因進行腰痳。對比兩組患者註藥前後血壓、心率和血氧飽和度等生命體徵的變化；記錄感覺神經被阻滯的起效時間，持續時間，Bromage 評分以及噁心、嘔吐和尿潴留等不良反應的髮生率。結果：痳醉註藥前後兩組患者的血壓、心率、血氧飽和度和 Bromage 評分無統計學差異（P ﹥0．05），感覺神經阻滯起效時間，持續時間差異具有統計學意義（P ﹤0．05），B 組起效時間快，持續時間短。200例患者均未齣現噁心嘔吐以及尿潴留的情況。結論：小劑量佈比卡因腰痳用于肛腸科日間手術具有血流動力學穩定，起效快，持續時間短等優點。
목적：관찰비교저관조체화소제량포비잡인요마용우항장과일간수술적마취효과，위림상항장과일간수술제공일충행지유효적마취방법。방법：선취택기행항장과일간수술적환자200례，수궤분위 A、B 량조，A조채용저관조체법진행마취，B 조채용소제량포비잡인진행요마。대비량조환자주약전후혈압、심솔화혈양포화도등생명체정적변화；기록감각신경피조체적기효시간，지속시간，Bromage 평분이급악심、구토화뇨저류등불량반응적발생솔。결과：마취주약전후량조환자적혈압、심솔、혈양포화도화 Bromage 평분무통계학차이（P ﹥0．05），감각신경조체기효시간，지속시간차이구유통계학의의（P ﹤0．05），B 조기효시간쾌，지속시간단。200례환자균미출현악심구토이급뇨저류적정황。결론：소제량포비잡인요마용우항장과일간수술구유혈류동역학은정，기효쾌，지속시간단등우점。
[ABSTRACT]Objective:To compare the anesthetic effects of caudal block and a small dose bupivacaine spinal anes-thesia for daily anorectal surgery,providing an effective anesthesia method for clinical anorectal surgery. Methods:200 patients undergoing daily anorectal surgery in our hospital were randomly divided into A and B groups. The patients in A group were given caudal block,while these in B group were given a small dose of bupivacaine for spinal anesthesia. The changes between blood pressure(BP),heart rate(HR),oxygen saturation(SPO2 )before and after drug injection were recorded,and so were the high time when the sensory nerves were blocked and how long it lasted,meanwhile the Bro-mage score was recorded and so was the incidence of nausea,vomiting and urinary retention. Result:Compared A and B,before and after the injection,BP,HR and SPO2 had no statistically significant difference(P ﹥ 0. 05). There was statistically significant difference in the high time sensory nerve blocked and duration(P ﹤ 0. 05). Group B blocked more quickly and had shorter duration. There was no significant difference in bromage score(P ﹥ 0. 05). There were no patient nausea,vomiting,and urinary retention due to circumstances require placement of catheter in 200 patients. Conclusion:Low-dose bupivacaine spinal anesthesia for anorectal daily surgery has advantages in hemodynamic stabili-ty,rapid onset,short duration,low degree of motor nerve blocked and the fewer adverse reactions occur.
