中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
19期
42-43
,共2页
脊柱畸形%硬膜外手术%麻醉
脊柱畸形%硬膜外手術%痳醉
척주기형%경막외수술%마취
Spinal deformity%Epidural operation%Anesthesia
目的：探讨硬膜外麻醉对于脊柱畸形患者的效果。方法：收治脊柱畸形致困难硬膜外麻醉患者32例，均为成人下腹及下肢手术，另外选取32例腰椎正常无疾患成人进行下腹及下肢手术比较，对比两者麻醉效果及各项生理指标的变化。结果：麻醉的持续时间、麻醉效果、术后感觉恢复时间、麻醉并发症和麻醉前后的Rf、Vt、BR、SpO2的变化与脊柱正常患者差异无统计学意义。结论：硬膜外麻醉应用于脊柱畸形患者时的效果及其各功能的指标变化与正常人相近，因此，上腹部及下肢的各部位手术选择硬膜外麻醉是可行的。
目的：探討硬膜外痳醉對于脊柱畸形患者的效果。方法：收治脊柱畸形緻睏難硬膜外痳醉患者32例，均為成人下腹及下肢手術，另外選取32例腰椎正常無疾患成人進行下腹及下肢手術比較，對比兩者痳醉效果及各項生理指標的變化。結果：痳醉的持續時間、痳醉效果、術後感覺恢複時間、痳醉併髮癥和痳醉前後的Rf、Vt、BR、SpO2的變化與脊柱正常患者差異無統計學意義。結論：硬膜外痳醉應用于脊柱畸形患者時的效果及其各功能的指標變化與正常人相近，因此，上腹部及下肢的各部位手術選擇硬膜外痳醉是可行的。
목적：탐토경막외마취대우척주기형환자적효과。방법：수치척주기형치곤난경막외마취환자32례，균위성인하복급하지수술，령외선취32례요추정상무질환성인진행하복급하지수술비교，대비량자마취효과급각항생리지표적변화。결과：마취적지속시간、마취효과、술후감각회복시간、마취병발증화마취전후적Rf、Vt、BR、SpO2적변화여척주정상환자차이무통계학의의。결론：경막외마취응용우척주기형환자시적효과급기각공능적지표변화여정상인상근，인차，상복부급하지적각부위수술선택경막외마취시가행적。
Objective:To investigate the effect of epidural anesthesia for patients with spinal deformity.Methods:32 patinets who completed the spinal deformity difficult to epidural anesthesia were given adult lower abdominal and lower limb operation.In addition,32 adults whose lumbar was normal abdominal had the lower abdominal and lower limb operation to do the comparison. We compared the effect of both anesthesia and the change of physiological indicators.Results:The duration of anaesthesia, anesthetic effect,the sensory recovery time after operation,complications of anesthesia and the changes of Vt,Rf,BR,SpO2 before and after anesthesia compared with the patients with spine normal without obvious difference.Conclusion:The anesthesia effect and its function changes of epidural use in spinal deformity patients is similar to the normal people,therefore,the epidural anesthesia in the various regions of upper abdominal and lower limb operation is feasible.
