鞍麻在老年人鞍区手术中的临床观察  

Clinical research of saddle anesthesia in elderly patients with saddle area surgery

作　　者：徐玲[1] 

机构地区：[1]衢州市人民医院麻醉科,浙江衢州324000

出　　处：《全科医学临床与教育》2011年第2期176-177,180,共3页Clinical Education of General Practice

摘　　要：目的探讨鞍麻用于老年人鞍区手术的效果。方法将60例鞍区手术的老年病人,随机分为鞍麻组(A组)和腰麻组(B组)各30例。记录两组患者麻醉前(T0)、注药后5 min(T1)、10 min(T2)、30 min(T3)的MAP、HR,观察感觉阻滞起效时间(鞍区痛觉消失时间)及运动恢复时间(能充分屈髋、膝、踝关节时间)、最高平面节段,记录麻醉并发症或不良反应。结果 A组和B组MAP、HR在T1、T2、T3时比较,差异均有统计学意义(t分别=6.57、8.59、7.70、11.63、10.27、13.27,P均<0.05);感觉阻滞起效时间比较,差异无统计学意义(t=2.33,P>0.05);运动恢复时间比较,差异有统计学意义(t=2.15,P<0.05);最高平面节段比较,差异有统计学意义(t=2.83,P<0.05);A组和B组Bromage评分比较,差异有统计学意义(χ2=2.71,P<0.05);A组与B组不良反应中尿潴留比较,差异有统计学意义(χ2=2.67,P<0.05)。结论鞍麻完全能满足老年人鞍区手术的麻醉。Objective To explore the effect of saddle anesthesia in elderly patients with saddle area surgery. Methods All the 60 patients were averagely divided into two groups： saddle anesthesia （Group A） and spinal anesthesia （Group 13）. MAP and HR in different point, block beginning time, motion recovery time, the highest block section, the Bromage＇s grades and complication of the two groups were observed and recorded. Results The MAP and HR of group A in T1, T2, T3 were significantly higher than that of group B （t=6.57, 8.59, 7.70, 11.63, 10.27, 13.27, P〈0.05）; the block beginning time of group A was similar with group B; the motion recovery time of group A was significantly faster than that of group B （t= 2.15, P〈0.05）; as for the highest block section, group A was clearly lower than that of group B （t=2.83, P〈0.05）; the Bromage＇s grades were different in two groups （t=2.71, P〈O.05）; urinary retention in group A was significantly lower than that of group B（t = 2.67,P〈0.05）. Conclusions Saddle anesthesia can meet the saddle surgery of the older.

关 键 词：鞍麻 手术 麻醉 

分 类 号：R614[医药卫生—麻醉学]