压力波形联合回流液相双指征监测法定位硬膜外麻醉的临床应用  

The application of pressure graph combined with liquid reflow double monitoring way as epidural anesthesia indication

作　　者：龚玉华[1] 

机构地区：[1]内蒙古医学院附属医院麻醉科,呼和浩特010050

出　　处：《国际麻醉学与复苏杂志》2012年第7期487-489,497,共4页International Journal of Anesthesiology and Resuscitation

摘　　要：背景硬膜外穿刺技术临床上广泛用于颈部、胸腹部、下肢手术的麻醉与疼痛治疗。现行传统硬膜外麻醉操作为一种盲探性穿刺置管技术，单独依靠操作者的感觉和经验及简单的试验方法评判麻醉成功与否，难以做到精确可控，而麻醉状态无客观指征监测，麻醉失败原因常无法得知。目的为改进现行盲探方法，探求硬膜外麻醉的可视化指征的可行性。内容自2006年以来，经不断深入研究，以“压力波形联合回流液相双指征法”用于辅助硬膜外麻醉，达到了可视化指征，辅助硬膜外麻醉定位与监测，效果理想。至今已在临床成功应用万例以上（内蒙古医学院附属医院完成硬膜外麻醉1万余例，年，约占麻醉总例数的50％）。趋向目前此项技术已常规应用于临床并加以推广，现予以介绍，以期建立新型硬膜外麻醉操作流程，从而使麻醉全程达到严谨、规范、安全、可靠，进一步提高硬膜外麻醉的安全有效性。Background Epidural anesthesia is accustomed to clinical anesthesiologist, which is an important part of anesthesia and analgesia. Epidural anesthesia has made a great progress in its security and validity. But until now, the epidural puncture is mostly operated in blind in clinic. The anesthetic effect is estimated after drug injection or by the feeling of patients. It has no objective indication. Objective To pursue a way as cpidural anesthesia revised indication, and revised the traditional way in blind. Content Since 2006, The visualization of epidural anesthesia indication has been used in above one thousand patients in clinic, which combined pressure graph with liquid reflow as monitoring indication way and have received good results. Trend This new method has been applied into clinic now. In this article, we want to establish a rigorous, specificity, safe, and reliable way in epidural anesthesia procedure, and build epidural anesthesia specification, which increase the safety and the efficacy of epidural anesthesia.

关 键 词：硬膜外穿刺 压力波形监测 回流 阻力消失法 

分 类 号：R614[医药卫生—麻醉学]