摘要
目的研究妇产科手术中腰硬联合麻醉的应用价值及远期疗效。方法选取2012年10月~2013年11月在我院妇产科行盆腔手术的80例患者进行回顾性分析，按患者当时手术时选择的不同麻醉方式分为观察组和对照组两组，其中观察组46例患者选用腰麻联合硬膜外麻醉、对照组34例患者单纯使用腰麻，手术完毕后都用静脉药物进行镇痛。对比观察两组患者在术中的麻醉效果和麻醉后的不良反应，对两种麻醉方法进行评价。结果观察组麻醉总优良率为95.7%，对照组麻醉总优良率为82.4%，差异有统计学意义（P＜0.05）；观察组麻醉后不良反应率为15.2%，对照组麻醉后不良反应率为26.5%，差异有统计学意义（P＜0.05）。结论腰硬联合麻醉比单一腰麻在妇产科手术中有更好的麻醉效果，其不良反应的发生率也更低，能将患者在手术过程中的不适度降低，值得向临床推广应用。
Objective To study the application value and long term effect of combined spinal and epidural anesthesia in obstetrics and gynecology operation. Methods Using retrospectively analyzed methods, 80 cases of patients with pelvic operation were selected in Department of obstetrics and gynecology in our hospital from October, 2012 to November,2013.According to the different ways of anesthesia, they were divided into the observation group and control group, the observation group had 46 patients with lumbar anesthesia combined with epidural anesthesia, the control group had 34 patients who had used spinal anesthesia. After the operation, they were both treated with intravenous drug analgesia. Comparison of adverse reaction and observation of anesthesia effect of two groups of patients were carried on during operation and anesthesia, two kinds of methods of anesthesia were evaluated.Results The total anesthesia excellent rate of the observation group was 95.7%, the control group was 82.4%, the difference was statistically significant （P〈0.05）; Adverse reaction rate of the observation group after anesthesia was 15.2%, adverse reaction rate of control group after anesthesia was 26.5%, the difference was statistically significant （P〈0.05）. Conclusion The combined spinal epidural anesthesia have better effect than single anesthesia in gynecologic operation, the adverse reaction rate is lower, which can make appropriate of patients to reduce during surgery, it is worthy of clinical application.
出处
《中国医药科学》
2015年第5期149-151,共3页
China Medicine And Pharmacy
关键词
腰硬联合麻醉
妇产科手术
应用价值
Combined spinal epidural anesthesia
Obstetrics and gynecology operation
Application value
