摘要
目的比较左布比卡因与布比卡因腰麻用于肛肠手术的麻醉效果。方法选取该院自2017年1月—2019年9月收治的58例肛肠外科手术患者作为观察对象,随机分为观察组(29例)与对照组(29例)。分别给予左布比卡因与布比卡因腰麻。观察两组患者麻醉起效时间、肌松达标时间、最高麻醉平面及感觉阻滞时间,对比两组患者术后疼痛程度、麻醉前后血压与心率变化情况。结果观察组麻醉起效时间(4.2±1.4)min、肌松达标时间(9.4±0.9)min,最高麻醉平面(2.2±0.8)L同对照组相比组间差异无统计学意义(t=0.245、0.658、0.647,P>0.05);观察组感觉阻滞时间(4.1±1.2)min优于对照组(t=7.523,P<0.05)。麻醉后,观察组患者的收缩压、舒张压与心率同对照组差异无统计学意义(t=0.658、0.451、0.823,P>0.05)。观察组术后疼痛评分为(2.4±0.9)分,对照组术后疼痛评分为(3.0±1.1)分,组间差异有统计学意义(t=2.273,P<0.05)。结论左布比卡因腰麻行肛肠外科手术相比于布比卡因具有更大优越性,术后镇痛效果佳,感觉阻滞时间长。
Objective To compare the anesthesia effect of left bupivacaine and bupivacaine for spinal anesthesia for anorectal surgery.Methods A total of 58 patients undergoing anorectal surgery from January 2017 to September 2019 in the hospital were selected as observation objects,and randomly divided into an observation group(29 cases)and a control group(29 cases).Left bupivacaine and bupivacaine were given spinal anesthesia,respectively.Observe the time of onset of anesthesia,the time of reaching the standard of muscle relaxation,the maximum anesthesia level and sensory block time of the two groups of patients,and compare the postoperative pain,blood pressure and heart rate changes before and after anesthesia between the two groups of patients.Results The anesthesia on-set time(4.2±1.4)min,muscle relaxation time(9.4±0.9)min,the highest anesthesia level(2.2±0.8)L in the observation group were not significantly different from those in the control group(t=0.245,0.658,0.647,P>0.05);the sensory block time(4.1±1.2)min in the observation group was better than the control group(t=7.523,P<0.05).After anesthesia,the systolic blood pressure,diastolic blood pressure and heart rate of the observation group were not significantly different from the control group(t=0.658,0.451,0.823,P>0.05).The postoperative pain score of the observation group was(2.4±0.9)points,and the postoperative pain score of the control group was(3.0±1.1)points.The difference between the groups was statistically significant(t=2.273,P<0.05).Conclusion Left bupivacaine for anal and bowel surgery for spinal anesthesia has greater advantages than bupivacaine,with good postoperative analgesic effect and long sensory block time.
作者
王苏婷
WANG Su-ting(Department of Anesthesiology,the Fourth People's Hospital of Rudong,Rudong,Jiangsu Province,226400 China)
出处
《世界复合医学》
2020年第6期181-183,共3页
World Journal of Complex Medicine
