超长硬膜外置管对阑尾牵拉反应的影响  

Influence of Extra-length Epidural Catheterizing to Dragging Pain during Appendectomy

作　　者：姚继红[1] 

机构地区：[1]中国人民解放军155医院麻醉科,河南开封475003

出　　处：《河南大学学报（医学版）》2007年第1期45-46,共2页Journal of Henan University:Medical Science

摘　　要：目的:观察超长硬膜外置管法对阑尾切除术牵拉反应的影响。方法:60例阑尾切除术患者随机分为2组(I组和II组,)每组30例,Ⅰ组和Ⅱ组均选择T11-12为穿刺点。结果:①I组阻滞平面为7±2脊髓节段,II组阻滞平面为11±3脊髓节段。②I组牵拉反应:0级12例,1级14例,2级4例;II组牵拉反应:0级25例,1级5例,2级0例。阻滞平面和牵拉痛2组差异均有统计学意义。结论:超长硬膜外置管法可以有效增加麻醉阻滞平面,减少阑尾切除术中的牵拉反应。Objective： To observe the influence of extra- length epidural catheterizing to dragging pain during appendectomy. Methods： 60 patients with appendicitis were randomly divided into two groups （group Ⅰ and group Ⅱ）. The two groups all with epidural anesthesia, paracentesis point is T11-12. Results： ①In group Ⅰ , the number of bolcked segments was means 7 - 2; in group Ⅱ it was 11 ± 3, there were significant differences between the two groups （ P 〈0.05）. ② In group Ⅰ , 12 cases have 0 degree pain, 14 have 1 degree, 4 have 2 degree. The corresponding cases in group Ⅱ were 25, 5, O. There were also significant differences （ P 〈 0. 01 ）. Conclusion： Extra -length epidural catheterizing can efficiently widen levels of anesthesia, so it can relieve the dragging pain during the appendectomy.

关 键 词：超长硬膜外置管 阑尾 麻醉 

分 类 号：R614.41[医药卫生—麻醉学]