不同浓度小剂量利多卡因腰硬联合麻醉在老年肛肠疾病患者非PPH中的临床效果观察

发布时间：2018-04-07 16:46

本文选题：利多卡因　切入点：腰硬联合麻醉　出处：《重庆医学》2017年33期

【摘要】：目的观察不同浓度小剂量利多卡因腰硬联合麻醉在老年患者肛肠疾病非吻合器痔上黏膜切除术(PPH)中的临床效果。方法选择该院2013-2014年行非PPH肛肠疾病患者120例为研究对象,分为A组(1.5%利多卡因)、B组(1.0%利多卡因)、C组(0.8%利多卡因)和D组,每组30例。A组、B组、C组腰硬联合麻醉,D组采用骶管麻醉。观察患者不同时间点心率(HR)、平均动脉压(MAP)变化及手术前后应激反应情况,记录麻醉操作时间、起效时间、术后恢复活动时间、麻醉效果评级、成功率、术后患者满意度、术者满意度和尿潴留情况。结果 4组患者不同时点MAP、HR比较,差异无统计学意义(P0.05)。A组、B组、C组患者麻醉起效时间、术后恢复活动时间均明显少于D组(P0.01),A组术后恢复活动时间长于B组和C组。A组、B组、C组尿潴留患者明显少于D组(P0.05)。A组、B组患者满意度、术者满意度均为100%。结论 1.0%利多卡因腰硬联合麻醉更适合于高龄肛肠疾病患者非PPH。
[Abstract]:Objective To observe the effect of different concentration of small dose lidocaine epidural anesthesia in elderly patients with anorectal disease non hemorrhoids patient (PPH). Methods the clinical effect of the hospital 2013-2014 years for 120 cases as the research object of non PPH patients with anorectal disease, divided into A group (group B, 1.5% lidocaine (1% lidocaine)), group C (0.8% lidocaine) and D group with 30 cases in each group,.A group, B group, C group and combined spinal epidural anesthesia, D group treated with sacral anesthesia. Patients were observed at different time snack rate (HR), mean arterial pressure (MAP) before and after the change and stress response in the operation situation, record the time of anesthesia, onset time, recovery time after surgery, anesthesia effect rating, success rate, postoperative patient satisfaction, patients satisfaction and retention of urine. The results of 4 groups of patients at different time points MAP, HR comparison, the difference was not statistically significant (P0.05) in.A group, B group, the onset time of anesthesia in C group after operation recovery Activity time was significantly less than group D (P0.01) A group, postoperative recovery time was longer than that in B group and C group,.A group, B group, C group of patients with urinary retention was significantly less than in group D (P0.05).A group, B group, patient satisfaction, patients satisfaction was 100%. conclusion 1% lidocaine combined spinal epidural anesthesia is more suitable for the elderly patients with anorectal diseases PPH.

【作者单位】：华中科技大学同济医学院附属武汉中心医院麻醉科;
【基金】：湖北省卫生计生委科研项目(WJ2017F016)
【分类号】：R614

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