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《不同麻醉方法在子宫切除术中的疗效对比研究.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、第22卷第1期中国现代医学杂志Vo1.22No.12012年1月ChinaJournalofModernMedicineJan.2012文章编号:1005-8982(2(}12)01-0069—03不同麻醉方法在子宫切除术中的疗效对比研究李淑敏(河南省郑州市人民医院麻醉科,河南郑州450003)摘要:目的探讨腰硬联合麻醉和硬膜外麻醉在子宫切除术中的临床疗效。方法选择2010年1-12月在该院行子宫切除术的患者86例,根据区组化随机分组法将入选病例分为腰硬联合麻醉组和硬膜外麻醉组,每组43例。腰硬联合麻醉组患者行腰硬联合麻醉,而硬膜
2、外麻醉组患者则给予单纯硬膜外麻醉,并分别对两组患者的阻滞显效时间、麻醉平面达L时间、麻醉达最高平面时间、局麻药用量、镇痛率、肌松满意度以及并发症发生情况等相关临床指标进行比较分析。结果与硬膜外麻醉组比较,腰硬联合麻醉组患者的镇痛率、肌松满意度、局麻药用量、阻滞显效时间、麻醉平面达T时间、麻醉迭最高平面时间等相关指标均显著改善,差别均具有统计学意义(P<0.05);腰硬联合麻醉组患者麻醉效果为优的比率和总的优良率均明显提高,分别高达93.02%和100.()f)%,而麻醉效果为差的比率则明显降低,差别均具有显著性(P3、腰硬联合麻醉组患者发生恶心、呕吐、头痛、腰背痛的比率所有增高,而发生寒战和低血压的比率则有所减少,但差异均未表现出显著性(P>0.05)。讨论在子宫切除术中腰硬联合麻醉较单纯硬膜外麻醉具有更为明显的优点,是一种简单、安全、有效的麻醉方法,值得进一步的临床推广和应用。’关键词:腰硬联合麻醉;硬膜外麻醉;子宫切除文献标识码:R713.4中图分类号:BTheeficacyofdifferentanesthetictechniquesinhysterectomyLIShu-min(DepartmentofAnesthesiology,th4、ePeopleHospitalofZhengzhouCity,Zhengzhou,Henan450003.PR.China)Abstract:【Objective】Toprobeintotheclinicalefficacyofspinal-epidurManesthesiaandepiduralanesthesiainhysterectomy.【MethodsJChooseMarch2010一June201186patientsinourhospitalwithhysterectomy,accord-ingtotheblock—5、basedmethodwillbeselectedrandomlyassignedpatientsweredividedintospinal-epiduralanes-thesiaandepiduralanesthesiagroupsof43cases.Spinal—epiduralanesthesiainpatientswithepiduralanesthesia,andepiduralanesthesiapatientsweretreatedwithepiduralanesthesiaalone,andtwogroupsofp6、atients,respectively,blockonsettime.anesthesiatimeT6levelofanesthesiareachedthehighestplaneoftime.theamountof1ocalanes—thetic,analgesicrate,musclerelaxantssatisfactionandcomplicationswererelatedclinicalparameterswereanalyzed.【Results】Comparedwithepiduralanesthesia,the7、rateofpatientswithpain,musclerelaxationsatisfaction,theamountoflocalanesthetic,blockadeonsettime,anesthesiatime,levelofT6,thehighestplaneofanesthesiatimeinspinal-epiduralanesthesiagroupweresignificantlyrelatedindicatorsfP<0.05).Forspinal—epiduralanesthesiagrouptherate8、ofanestheticeffectwasexcellentandoverallqualitywassignificantlyimproved,ashighas93.02%and,100%,whiletheefectofanesthesiasign
3、腰硬联合麻醉组患者发生恶心、呕吐、头痛、腰背痛的比率所有增高,而发生寒战和低血压的比率则有所减少,但差异均未表现出显著性(P>0.05)。讨论在子宫切除术中腰硬联合麻醉较单纯硬膜外麻醉具有更为明显的优点,是一种简单、安全、有效的麻醉方法,值得进一步的临床推广和应用。’关键词:腰硬联合麻醉;硬膜外麻醉;子宫切除文献标识码:R713.4中图分类号:BTheeficacyofdifferentanesthetictechniquesinhysterectomyLIShu-min(DepartmentofAnesthesiology,th
4、ePeopleHospitalofZhengzhouCity,Zhengzhou,Henan450003.PR.China)Abstract:【Objective】Toprobeintotheclinicalefficacyofspinal-epidurManesthesiaandepiduralanesthesiainhysterectomy.【MethodsJChooseMarch2010一June201186patientsinourhospitalwithhysterectomy,accord-ingtotheblock—
5、basedmethodwillbeselectedrandomlyassignedpatientsweredividedintospinal-epiduralanes-thesiaandepiduralanesthesiagroupsof43cases.Spinal—epiduralanesthesiainpatientswithepiduralanesthesia,andepiduralanesthesiapatientsweretreatedwithepiduralanesthesiaalone,andtwogroupsofp
6、atients,respectively,blockonsettime.anesthesiatimeT6levelofanesthesiareachedthehighestplaneoftime.theamountof1ocalanes—thetic,analgesicrate,musclerelaxantssatisfactionandcomplicationswererelatedclinicalparameterswereanalyzed.【Results】Comparedwithepiduralanesthesia,the
7、rateofpatientswithpain,musclerelaxationsatisfaction,theamountoflocalanesthetic,blockadeonsettime,anesthesiatime,levelofT6,thehighestplaneofanesthesiatimeinspinal-epiduralanesthesiagroupweresignificantlyrelatedindicatorsfP<0.05).Forspinal—epiduralanesthesiagrouptherate
8、ofanestheticeffectwasexcellentandoverallqualitywassignificantlyimproved,ashighas93.02%and,100%,whiletheefectofanesthesiasign
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