中国当代医药
中國噹代醫藥
중국당대의약
China Modern Medicine
2015年
30期
56-58
,共3页
25G腰穿针%腰麻%肛肠科手术
25G腰穿針%腰痳%肛腸科手術
25G요천침%요마%항장과수술
25G spinal needle%Spinal anesthesia%Anorectal surgery
目的：探讨25G腰穿针超小剂量布比卡因腰麻在肛肠科手术中的应用效果。方法选取2014年1~12月在本院接受肛肠科手术治疗的348例患者作为研究对象，随机分为对照组和观察组。对照组采用常规腰麻方式，即22G腰穿针常规剂量布比卡因腰麻方式，观察组采用25G腰穿针超小剂量布比卡因腰麻方式，比较两组的麻醉效果、麻醉恢复情况、不良反应发生率及患者对麻醉效果的满意度。结果观察组的总有效率显著高于对照组，差异有统计学意义(P<0.05)。观察组的双下肢肌力恢复时间及自主排尿恢复时间显著短于对照组，差异有统计学意义(P<0.05)。观察组的低血压、头痛、心动过速及尿潴留等麻醉后不良反应发生率显著低于对照组，麻醉满意率显著高于对照组，差异有统计学意义(P<0.05)。结论25G穿刺针复合小剂量布比卡因腰麻在肛肠疾病手术中的临床效果显著，具有并发症少、恢复快、患者满意率高等优点。
目的：探討25G腰穿針超小劑量佈比卡因腰痳在肛腸科手術中的應用效果。方法選取2014年1~12月在本院接受肛腸科手術治療的348例患者作為研究對象，隨機分為對照組和觀察組。對照組採用常規腰痳方式，即22G腰穿針常規劑量佈比卡因腰痳方式，觀察組採用25G腰穿針超小劑量佈比卡因腰痳方式，比較兩組的痳醉效果、痳醉恢複情況、不良反應髮生率及患者對痳醉效果的滿意度。結果觀察組的總有效率顯著高于對照組，差異有統計學意義(P<0.05)。觀察組的雙下肢肌力恢複時間及自主排尿恢複時間顯著短于對照組，差異有統計學意義(P<0.05)。觀察組的低血壓、頭痛、心動過速及尿潴留等痳醉後不良反應髮生率顯著低于對照組，痳醉滿意率顯著高于對照組，差異有統計學意義(P<0.05)。結論25G穿刺針複閤小劑量佈比卡因腰痳在肛腸疾病手術中的臨床效果顯著，具有併髮癥少、恢複快、患者滿意率高等優點。
목적：탐토25G요천침초소제량포비잡인요마재항장과수술중적응용효과。방법선취2014년1~12월재본원접수항장과수술치료적348례환자작위연구대상，수궤분위대조조화관찰조。대조조채용상규요마방식，즉22G요천침상규제량포비잡인요마방식，관찰조채용25G요천침초소제량포비잡인요마방식，비교량조적마취효과、마취회복정황、불량반응발생솔급환자대마취효과적만의도。결과관찰조적총유효솔현저고우대조조，차이유통계학의의(P<0.05)。관찰조적쌍하지기력회복시간급자주배뇨회복시간현저단우대조조，차이유통계학의의(P<0.05)。관찰조적저혈압、두통、심동과속급뇨저류등마취후불량반응발생솔현저저우대조조，마취만의솔현저고우대조조，차이유통계학의의(P<0.05)。결론25G천자침복합소제량포비잡인요마재항장질병수술중적림상효과현저，구유병발증소、회복쾌、환자만의솔고등우점。
Objective To explore the clinical efficacy of 25G spinal needle with ultra low-dose bupivacaine spinal anesthesia in anorectal surgery. Methods 348 patients treated with anorectal surgery in our hospital from January 2014 to December were selected and randomly divided into the control group and the observation group.The control group was given conventional anesthesia,which was 22G spinal needle with regular doses bupivacaine.The observation group was given 25G spinal needle with ultra low-dose bupivacaine.The anesthesia efficacy,recovery status after anesthesia, the incidence rate of adverse reaction and patients satisfaction degree with the effect of anesthesia in two groups was compared. Results The total effective rate of the observation group was higher than that of the control group,with sig-nificant difference (P<0.05).The time of two legs muscle recovery and self-voiding recovery time in the observation group was shorter than that in the control group,with significant difference (P<0.05).The incidence rate of adverse reac-tion shch as hypotension,headache,tachycardia and urinary retention in the observation group after anesthesia was lower than that in the control group,with significant difference (P<0.05).The satisfaction rate of anesthesia in the observation group was higher than that in the control group,with significant difference (P<0.05). Conclusion 25G spinal needle with ultra low-dose bupivacaine spinal anesthesia has significant efficacy in the anorectal diseases surgery,with advantage of fewer complications,faster recovery and higher patient satisfaction degree.
