全子宫切除术中腰硬联合麻醉的应用效果分析

发布时间：2018-06-14 06:49

本文选题：全子宫切除术 + 腰硬联合麻醉　；参考：《基层医学论坛》2016年20期

【摘要】：目的探讨腰硬联合麻醉在全子宫切除术中的应用效果。方法选择我院2013年7月—2015年8月收治的77例行全子宫切除患者的临床资料,根据数字随机分配的原则,将患者分为观察组(n=39例)与对照组(n=38例),全部患者入室前30 min肌注0.5 mg阿托品及100 mg苯巴比妥钠,入室后给予心电监护,开通静脉通道,给予面罩吸氧,常规消毒铺巾。观察组患者采用腰硬联合麻醉,对照组患者采用硬膜外麻醉,对比2组患者的麻醉效果。结果 2组患者的麻醉优良率比较具有明显差异(P0.05);患者不良反应均表现为恶心、呕吐、腰痛等症状,2组患者并发症发生率比较无明显差异(P0.05)。观察发现,麻醉后1 h 2组患者静止状态及咳嗽状态VAS评分比较无明显差异(P0.05),而6 h及12 h,观察组患者静止状态及咳嗽状态VAS评分均明显低于对照组(P0.05)。结论腰硬联合麻醉效果良好,镇痛效果佳,具有较高的安全性,值得临床推广应用。
[Abstract]:Objective to investigate the effect of combined spinal-epidural anesthesia in total hysterectomy. Methods the clinical data of 77 cases of total hysterectomy admitted in our hospital from July 2013 to August 2015 were selected. The patients were divided into observation group (n = 39) and control group (n = 38). All patients were intramuscularly injected with 0.5 mg atropine and 100 mg phenobarbital sodium 30 min before entering the room. The patients in the observation group were treated with combined spinal-epidural anesthesia and the patients in the control group were treated with epidural anesthesia. Results there was significant difference in the excellent and good rates of anesthesia between the two groups, and there was no significant difference in the incidence of complications between the two groups, such as nausea, vomiting and low back pain. It was found that there was no significant difference in the VAS scores between the two groups at 1 h after anesthesia, but at 6 h and 12 h, the VAS scores of the two groups were significantly lower than those of the control group (P 0.05). Conclusion combined spinal-epidural anesthesia has good analgesic effect and high safety, which is worth popularizing in clinic.
【作者单位】：朔州市朔城区人民医院;
【分类号】：R614

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