硬外穿刺困难应急预案临床观察  

Clinical Observation of Emergency Plan for Epidural Punctures Difficulty

作　　者：韦世阳[1] 龚金山[1] 杨小立[1] 

机构地区：[1]广东省东莞市虎门医院麻醉科,523900

出　　处：《岭南急诊医学杂志》2011年第3期198-199,共2页Lingnan Journal of Emergency Medicine

基　　金：广东省东莞市科研基金项目(4401120060975K)

摘　　要：目的:探讨硬外穿刺困难应急预案的可行性和有效性。方法:拟在椎管内麻醉下进行手术,ASA I-Ⅱ级,硬外穿刺困难106例,年龄20-70岁,随机分为对照组(n=54)和实验组(n=52)。比较两组穿刺成功率、所用的时间、术后腰背部不适和并发症等。结果:实验组硬外穿刺成功率明显高于对照组,试验组所用的时间、术后腰背部不适均明显少于对照组,P均<0.05。结论:硬外穿刺困难应急预案在基层医院安全有效可行。Objective： To explore the efficacy and safety of emergency plan for epidural punctures difficulty. Methods： 106 cases ASA Ⅰ-Ⅱ operated under intrathecal anesthesia with epidural puncture difficulty aged 20-70 years were divided randomly into the control group （group A, n=54） and experiment group （n=52）. The success rate, time used and complications were compared between the two groups. Results： The success rate of epidural puncture in the experiment group was significantly higher than that in the control group, but the time used and complications in the experiment group were significantly lower than those in the control group, all P〈0.05. Conclusion： Emergency plan for epidural punctures difficulty is safe, effective and feasible in grass-roots hospital.

关 键 词：硬外穿刺困难 应急预案 椎管内麻醉 

分 类 号：R614[医药卫生—麻醉学]