两组浓度的利多卡因腰俞穴麻醉用于混合痔手术的临床观察

发布时间：2018-04-03 08:18

本文选题：浓度利　切入点：多卡因　出处：《成都中医药大学》2014年硕士论文

【摘要】：目的：观察1.0%利多卡因20m1腰俞穴麻醉用于混合痔手术的麻醉安全性及术后排尿情况。方法：将89例来自成都中医药大学附属医院肛肠科病人随机分入1.0%利多卡因20m1腰俞穴麻醉组(以下称为试验组)和1.5%利多卡因20m1腰俞穴麻醉组(以下称为对照组),其中试验组44例,对照组45例。两组手术均采用外剥内扎硬注术,进行前瞻性的临床观察,并记录两组病例术中及术后相关的评价指标：麻醉不良反应、麻醉起效时间、麻醉疗效、术中直肠牵拉反射、术后疼痛、术后首次排尿时间、术后首次排尿通畅情况、首次排尿后膀胱排空情况、术后尿潴留发生率及导尿率,应用医学统计学软件SPSS19.0对结果进行对比分析。当P0.05时表示差异无统计学意义,P0.05时表示差异有统计学意义。结果：两组麻醉起效时间、麻醉疗效、术中直肠牵拉反射、术后疼痛(VAS评分)等方面差异无统计学意义(P0.05),试验组在麻醉不良反应、术后首次排尿时间、术后首次排尿通畅情况、首次排尿后膀胱排空情况、术后尿潴留发生率及导尿率与对照组之间有显著性差异(P0.05)。结论：1.0%利多卡因20m1腰俞穴麻醉用于混合痔手术,具有1.5%利多卡因20m1腰俞穴麻醉相同的麻醉效果,还有术中麻醉不良反应少、术后首次排尿时间早、首次排尿后膀胱排空好、术后尿潴留发生率及导尿率低等优点,降低了麻醉风险,减轻了术后反应。具有临床推广价值。
[Abstract]:Objective: to observe the anesthetic safety and urination of 1.0% lidocaine 20m1 for mixed hemorrhoids.Methods: a total of 89 patients from the anal and intestinal departments of the affiliated Hospital of Chengdu University of traditional Chinese Medicine were randomly divided into 1.0% lidocaine 20m1 Yaoshu anesthesia group (hereinafter referred to as the experimental group) and 1.5% lidocaine 20m1 Yaoshu anesthesia group (hereinafter referred to as the control group).There were 44 cases in the test group.Control group 45 cases.The patients in both groups were treated with external exfoliation and epidural injection, and the related evaluation indexes during and after operation were recorded: adverse reaction of anesthesia, onset time of anesthesia, curative effect of anesthesia, rectal reflex during operation.Postoperative pain, the first time of urination after operation, the condition of unobstructed urination for the first time after operation, the condition of bladder emptying after first urination, the incidence of postoperative urinary retention and the rate of catheterization were compared and analyzed with the medical statistics software SPSS19.0.There was no significant difference when P05 showed no statistical significance. P05 indicated that the difference was statistically significant.Results: there was no significant difference between the two groups in terms of onset time, anaesthesia effect, rectal traction reflex during operation, postoperative pain and VAS score (P 0.05). The adverse reaction of anesthesia, the first time of urination after operation, and the unobstructed first time of urination after operation were observed in the experimental group.The rate of urinary retention and catheterization after the first urination was significantly different from that of the control group (P 0.05).Conclusion 20m1 of 1.0% lidocaine has the same anesthetic effect on mixed hemorrhoid surgery with 1.5% lidocaine 20m1, less adverse reaction during operation, early urination time after operation, and bladder emptying after first urination.The low rate of urinary retention and catheterization reduces the risk of anesthesia and postoperative reaction.It has the value of clinical popularization.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R614

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