摘要
目的对比观察在局麻和全麻下进行鼻内窥镜手术的临床效果。方法将2008年10月至2009年6月收治入院的134例慢性鼻窦炎患者,按随机数表分为全麻组和局麻组,在全麻或局部麻醉下进行鼻内窥镜手术。比较两种麻醉下术中出血量、术后疼痛、术后1个月和6个月慢性鼻窦炎手术治疗效果。两组的术后镇痛效果采用长海痛尺进行评分。结果局麻下术中出血量较全麻明显减少（P〈0.05）;两组的术后镇痛效果差异无统计学意义（P〉0.05）;两组的治疗效果差异无统计学意义（P〉0.05）。结论慢性鼻窦炎患者采用局部麻醉方式下进行鼻内窥镜手术较全身麻醉患者出血量少,术后镇痛无明显差别,在术后1~6个月治疗效果方面差异均无统计学意义。故可认为局部麻醉下进行功能性内窥镜鼻窦手术更为安全、方便、经济。
Objective To evaluate the therapeutic effect of local and general anesthesia on nasal endoscopic surgery cases.Methods 134 cases endoscopic sinus surgery procedures were performed with two kinds of anesthesia methods according to the random rules from October 2008 to June 2009.And compared the blood loss in the surgery of different anesthesia,the therapeutic effect after surgery 1 month and 6 month and the pain after surgery.The Changhai Pain Scale was used as pain assessment.Results In all cases,the blood loss in the surgery with the local anesthesia was less than the general anesthesia（P〈0.05）.And the therapeutic effect with different anesthesia had no significant difference（P〉0.05）.The pain after surgery was no difference（P〉0.05）.Conclusion The blood loss in the surgery with the local anesthesia was less than the general anesthesia and the therapeutic effects after surgery 1 month and 6 month have no significant difference.The pain after surgery was no difference under local and the general anesthesia.The local anesthesia has more advantage than general,such as safety,cheap,convenience in the nasal endoscopic surgery.
出处
《重庆医学》
CAS
CSCD
北大核心
2010年第11期1405-1406,1408,共3页
Chongqing medicine
关键词
麻醉方式
鼻内窥镜手术
疗效
local anesthesia
general anesthesia
nasal endoscopic surgery
therapeutic effect
