摘要
目的研究在腹式全子宫切除术中采取腰-硬联合麻醉的安全性以及麻醉效果。方法 62例行腹式全子宫切除术患者,采取随机数字表法分为参照组与实验组,各31例。参照组患者实行硬膜外麻醉,实验组患者实行腰-硬联合麻醉。比较两组患者麻醉效果、麻醉药用量、麻醉起效时间。结果实验组患者麻醉优良率为96.77%,显著高于参照组的77.42%,差异具有统计学意义(P<0.05)。实验组患者麻醉药用量少于参照组,麻醉起效时间早于参照组,差异具有统计学意义(P<0.05)。结论将腰-硬联合麻醉应用于腹式全子宫切除术中具有显著疗效,可以提升手术安全性,改善麻醉效果,值得广泛应用。
Objective To research safety and anesthetic effect by combined spinal-epidural anesthesia applied in abdominal panhysterectomy. Methods A total of 62 patients receiving abdominal panhysterectomy were divided by random number table into control group and experimental group, with 31 cases in each group. The control group received epidural anesthesia, and the experimental group received combined spinal-epidural anesthesia. Comparison was made on anesthetic effect, anesthetic dosage and anesthetic onset time between the two groups. Results The experimental group had obviously higher good rate in anesthesia as 96.77% than 77.42% in the control group, and the difference had statistical significance（P〈0.05）. The experimental group had lower anesthetic dosage and earlier anesthetic onset time than the control group, and the difference had statistical significance（P〈0.05）. Conclusion Implement of combined spinal-epidural anesthesia shows excellent curative effect in abdominal panhysterectomy, and it can enhance surgical safety and improve anesthetic effect. This method is worth wide application.
作者
马玉清
宁红久
MA Yu-qing NING Hong-jiu(Department of Anesthesiology, Liaoning Xingcheng City People＇s Hospital, Xingcheng 125100, China)
出处
《中国实用医药》
2017年第7期118-119,共2页
China Practical Medicine
关键词
腰-硬联合麻醉
腹式全子宫切除术
安全性
麻醉效果
Combined spinal-epidural anesthesia
Abdominal panhysterectomy
Safety
Anesthetic effect
