压力囊泡指示器指导硬膜外穿刺的效果  

Efficacy of pressure bladder indicator in guiding epidural puncture

作　　者：闫清[1] 刘晓峰[1] 刘文[2] 王额尔敦[1] 王延文[1] 强显成 逄伟斌 

机构地区：[1]解放军第四0一医院麻醉科,青岛市266071 [2]解放军第四0一医院门诊,青岛市266071

出　　处：《中华麻醉学杂志》2010年第5期582-584,共3页Chinese Journal of Anesthesiology

摘　　要：目的 评价压力囊泡指示器指导硬膜外穿刺的效果.方法 试验Ⅰ：拟行硬膜外穿刺的患者32例,常规硬膜外穿刺成功后,穿刺针针尾连接压力传感器,测定硬膜外间隙压力.试验Ⅱ：拟行硬膜外穿刺的患者70例,应用压力囊泡指示器指导硬膜外穿刺.囊泡瘪掉后暂停穿刺,依据传统临床指征判断穿刺针是否到达硬膜外腔.记录压力囊泡指示器指导硬膜外穿刺成功情况.结果 硬膜外间隙压力为（10±4）cm H2O;完成压力囊泡指示器指导硬膜外穿刺患者70例,均符合操作要求,并经临床证实穿刺成功,成功率100%.结论 压力囊泡指示器可辅助硬膜外穿刺,准确判断穿刺针尖到达硬膜外间隙,具有临床应用价值.Objective To evaluate the efficacy of pressure bladder indicator in guiding epidural puncture.Methods Test Ⅰ Thirty-two patients scheduled for epidural puncture were studied. After successful epidural puncture, the end of the epidural needle was connected to a pressure sensor to measure the epidural space pressure. Test Ⅱ Seventy patients scheduled for epidural puncture were studied. The epidural puncture was performed using the pressure bladder indicator. The successful condition of the pressure bladder indicator in guiding epidural puncture was recorded. Results The epidural space pressure was （ 10 ± 4） cm H2O. Seventy patients completed epidural pucture under the guidance of the pressure bladder indicator. The success rate was 100%.Conclusion The pressure bladder indicator can serve as an assistance for epidural puncture and has clinical application value.

关 键 词：硬膜外腔 穿刺术 

分 类 号：R614[医药卫生—麻醉学]