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机构地区:[1]东川区第一人民医院麻醉科,云南东川654100 [2]昆明医学院第一附属医院麻醉科,云南昆明650032
出 处:《昆明医学院学报》2007年第02B期68-70,共3页Journal of Kunming Medical College
摘 要:目的观察用静脉留置针行骶管穿刺成功后留做骶管连续阻滞与常规方法有无异同之处。方法将60例患者随机分成2组,每组30例,A组用静脉留置针行骶管连续阻滞,B组用常规方法置人导管做骶管连续阻滞,使用1%~1.5%利多卡因麻醉,观察操作时间、进入骶管长度、失败率、出血率、阻滞范围、阻滞效果。结果A组操作时间短,进入骶管长度浅,阻滞效果好,失败率、出血率降低,同剂量药物下阻滞范围低于B组1~2个平面,阻滞效果好。结论本方法操作简便,易于掌握,降低出血率与失败率。Objective To compare the differences between puncturing after successful vein indwelling catheter and routine therapy. Methods 60 patients were divided into two groups randomly with 30 members in each group. In group A, vein indwelling catheter were punctured for continuous sacral block. In group B a rou-tine therapy was applied to put the sacral canal for continuous block by using 1%~1.5% lidocaine. Observed the operational time, length of the sacral, failure rate, bleeding rate, block' s range, and effects. Results Group A spent less time than group B. The position of Sacral catheter was shallow and the rate of block failure and bleeding were very low. Conclusion This method and failure rate. is easy to learn and operate, and it can reduce bleeding
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