摘要
目的 通过比较右美托咪定复合腹横肌平面神经阻滞与全身麻醉用于肾衰患者行腹膜透析管置入术的观察,探讨患者在该麻醉方式下行腹膜透析管置入术的安全性及有效性.方法 选择肾衰患者80例,随机分为右美托咪定复合腹横肌平面神经阻滞组（D组）和全身麻醉组（G组）,分别观察两组患者在麻醉时期平均动脉压（MAP）、心率（HR）及围麻醉期不良反应的发生.结果 两组患者术前一般情况、基础生命体征差异均无统计学意义（P＞0.05）;手术开始后5 min,G组MAP（118.50±19.59） mmHg（1 mmHg =0.133 kPa）较D组MAP（109.78±12.16）mmHg升高更加明显（P＜0.05）;G组HR（82.03±13.66）次/分,较D组HR（60.51±12.11）次/分升高更加明显（P＜0.05）;G组的围麻醉期不良反应的发生例数（8例）明显高于D组（1例,P＜0.05）;术后并发症G组（14例）发生例数明显高于D组（2例,P＜0.05）.结论 右美托咪定复合腹横肌平面神经阻滞在肾衰患者的腹膜透析管置入手术中麻醉效果良好.
Objective To compare the effect of nerve block in the level of transversus abdominis muscle combined with dexmedetomidine vs.general anesthesia in the catheterization of peritoneal dialysis in patients with renal failure.Methods Eighty patients with renal failure were chosen and divided randomly into two groups.One group received nerve block in the level of transverses abdomins muscle （D group）,and the other received general anesthesia （G group）.The changes in mean arterial pressure （MAP）,heart rate （HR） and the incidence of adverse reactions were recorded during the perioperative period.Results There was no significant difference in general conditions and vital signs between the two groups.Five min after the operation started,the MAP in G group （118.50 ±19.59） mmHg （1 mmHg =0.133 kPa） was higher than that in D group （109.78 ±12.16） mmHg; The heart rate in G group （82.03 ± 13.66） bpm was quicker than that in D group （60.51 ± 12.11） bpm.Furthermore,the incidence of adverse reactions in G group （8 cases） in perioperative period was higher than that in D group （one case）.The incidence of postoperative complications in G group （14） was higher than that in D group （two）.Conclusion Nerve block in the level of transversus abdominis muscle combined with dexmedetomidine is effective and safe when used in catheterization of peritoneal dialysis in patients with renal failure.It may be a better anaesthetic method in patients with renal failure in future.
出处
《中华实验外科杂志》
CAS
CSCD
北大核心
2015年第4期907-909,共3页
Chinese Journal of Experimental Surgery
关键词
腹膜透析
腹横肌平面阻滞
全身麻醉
Peritoneal dialysis
Nerve block in the level of transversus abdominis muscle
General anesthesia
