小剂量骶麻用于肛门直肠手术初探  

Preliminary Exploration of Small-dose Caudal Block for Surgery of Anorectal Diseases

作　　者：陈朝文[1] 詹学兵[1] 陈红[1] 杨新庆[2] 

机构地区：[1]北京大学第三医院普外肛肠科,100083 [2]首都医科大学附属朝阳医院普外科,100020

出　　处：《大肠肛门病外科杂志》2004年第2期103-105,共3页Journal of Coloproctological Surgery

摘　　要：目的 :探讨小剂量骶麻用于肛门直肠手术的可行性和优越性。方法 :两个阶段肛门直肠手术分别采用常规骶麻方法2 %利多卡因 1 5 2 0mL ,和小剂量骶麻 2 %利多卡因 5 1 0mL。观察麻醉中和术后恢复期并发症。结果 :两组患者均顺利完成手术。小剂量组一过性神经症状 (TNS)发生率为 4 9% ,较常规剂量组 1 6 7%明显降低 (P <0 0 5 )。术后卧床时间小剂量组为 2h ,常规剂量组为 4 6h。尿潴留发生率小剂量组为 7 3% ,常规剂量组为 1 4 4 % (P <0 0 5 )。而术后疼痛无明显差异。结论 :小剂量骶麻用于肛门直肠手术安全、有效 。Objective:To evaluate the complications of small dose caudal block of 2% lidocain.Methods:Two groups of operation for anorectal diseases with small dose (5~10 mL,average 7 9±0 6) and normal dose(15~20 mL,average 16 2±0.5).Results:Operations were done successfully in two groups.TNS was lower in small dose group 4 9% than in normal group 16 7%(P<0 05) Patients were able to walk earlier in small dose group than in normal group.Urinary retention was lower in small dose group 7 3%than in normal group 14 4%(P<0 05) Post operation pain were the same in the two groups.Conclusion:Small dose caudal block is safe and effective for surgery of anorectal diseases.

关 键 词：小剂量 骶麻 肛门直肠手术 利多卡因 

分 类 号：R614[医药卫生—麻醉学]