硬膜外气泡与硬膜外阻滞镇痛不全的临床探讨  

T HE CLINICAL OBSERVATION OF THE RELATIONS BETWEEN EXTRADURAL BUBBLES AND INCOMPLETE ANALGESIA

作　　者：许太武[1] 丁玉兴[1] 董发团[1] 王慧明[1] 杨绍琴 

机构地区：[1]成都军区昆明总医院麻醉科,昆明650032 [2]成都军区昆明总医院手术室,昆明650032

出　　处：《西南国防医药》1997年第1期7-8,共2页Medical Journal of National Defending Forces in Southwest China

摘　　要：作者就120例患者采用注气、注液两种方法对其硬膜外阻滞镇痛效果进行分组观察。结果表明,麻醉平面出现时间,麻醉平面范围及镇痛效果均无显著差异(P>0.05)。作者认为,Dalens提出注气法是硬膜外镇痛不全的原因之一,并提出废除的观点值得商榷。本文认为,注气法弹性回缩好,易于判断,使用方便,并侧重对两者的优缺点进行探讨。Objective:To observe and compare the extradural blocking analgesic effects by inflation and infusion. Methods: 120 patients were randomly divided into inflation group and infusion group. Results: There was neither significant time and area difference in the appearing of anesthesia level, nor in the analgesic effects. Conclusion: Dalens'opinion that inflation was the leading factor causing extradural incomplete analgesia and should have been abolished should be questioned. Analgesia by inflation is easy to judge, convenient, and can be elasticly recoiling during operation.

关 键 词：硬膜外麻醉 气泡 注气法 注液法 

分 类 号：R614[医药卫生—麻醉学]