连续蛛网膜下隙阻滞在妇科肿瘤手术中的应用  

Application of continuous spinal anesthesia in gynecological tumor operation

作　　者：谭永星[1] 林高翔[1] 庾俊雄[1] 蒋德斌[1] 熊威威[1] 

机构地区：[1]桂林医学院附属医院麻醉科,广西桂林541001

出　　处：《华夏医学》2010年第3期222-225,共4页Acta Medicinae Sinica

基　　金：广西自然科学基金资助项目(桂科自0728231)

摘　　要：目的:观察连续蛛网膜下隙阻滞用于妇科恶性肿瘤手术患者的麻醉有效性和安全性。方法:将60例妇科恶性肿瘤手术患者,随机分为连续蛛网膜下隙阻滞组(CSA组)和腰硬联合麻醉组(CSEA组)。比较两组麻醉起效时间、运动阻滞恢复时间、镇痛效果、肌松程度、循环变化及术中局麻药用量、辅助用镇痛镇静药等情况。结果:两组除在镇痛效果方面无显著性差异外(P>0.05),在其余各方面都有显著性差异(P<0.05)。结论:连续蛛网膜下隙阻滞具有起效快、效果确切、肌松效果好、局麻用药量少、血流动力学稳定等优点,能较好满足妇科恶性肿瘤根治手术的麻醉要求。Objective： To explore the efficacy and security of using continuous spinal anesthesia（CSA） in gynecological malignant tumor operation.Methods： Sixty patients undergoing selective operation and suffering from gynecological malignant tumor were randomly assigned into two groups： a continuous spinal anesthesia group（CSA,n=30） and a combined spinal-epidural anesthesia group（CSEA,n=30）.the onset time and the recovery time of motor blockage from anesthesia,analgesia effect,muscle relaxation,circulation,the total dosage of local analgesic,assisted analgesic and sedative drugs,etc,were compared between the two groups.Results： There were significant differences in the above observation items（P〈0.05） except in analgesia effect（P〈0.05） between the two groups.Conclusion： Quick and actual effect,satisfactory muscle relaxation,steady hemodynamics,less dosage of local analgesic,etc,can be provided by CSA,and it is a suitable anesthesia method in gynecological malignant tumor operation.

关 键 词：连续蛛网膜下隙阻滞 腰硬联合麻醉 Spinocath 妇科肿瘤 

分 类 号：R614[医药卫生—麻醉学] R737.3[医药卫生—外科学]