联合腰麻硬膜外麻醉用于子宫全切除手术的临床研究  

Clinic invastigation of combined spind-epidural anesthesia in complete hysterectomy

作　　者：张曙林 宋策[2] 贾泽明[2] 

机构地区：[1]湖南省望城县人民医院麻醉科,湖南望城410200 [2]卫生部肝胆肠外科研究中心,湖南长沙410008

出　　处：《中国现代医学杂志》2006年第3期441-443,共3页China Journal of Modern Medicine

摘　　要：目的比较联合腰麻硬膜外麻醉与单纯硬膜外麻醉在妇科全子宫切除术中的麻醉效果,并发症发生率和血流动力学的影响。方法选择择期全子宫切除术病人60例,随机分为CSEA组(联合腰麻硬膜外麻醉)和CEA组(连续硬膜外麻醉)。结果与CEA组比较,CSEA组麻醉显效时间快,麻醉平面达T6时间和最高平面时间短,而且镇痛效果好,肌松效果好,两组比较差异有显著性(P<0.05或P<0.01)。术中低血压、恶心、呕吐、寒战发生率两组无差异,两组术后头痛、腰背痛发生率亦无统计差异。结论CSEA为临床全子宫切除术提供了一种作用迅速、麻醉完善、并发症发生率低、切实可行的麻醉方法。[Objective] To valuate efficacy and the incidence of complication and homodynamic changes in the combined spinal-epidural anesthesia （CSEA） and continuous epidural anesthesia （CEA） in complete hysterectomy. [Methods] Sixty patients seheduled to undergo complete hystereetomy were randomly assigned to two groups：thirty patients received CSEA （CSEA group） and thirty patients received CEA （CEA group）. [Results] Compared with the CEA group ,CSEA group had following advantages：earlie onset times of anesthesia, the shorter time of anesthesia level to T6 and maximum level, smaller dose of local anesthesia, better effect of analgesic pain and more intensive motor block （P 〈0.05 or P 〈0.0l ）. There was difference between the two groups in the incidence of hypotension, nausea, vomiting, chill, postoperation backache and headache. [Conclusion] CSEA provides a better anesthesia way for complete hysterectomy.

关 键 词：腰麻 硬膜外麻醉 全子宫切除术 

分 类 号：R713.42[医药卫生—妇产科学]