肛肠病患者不同麻醉方法的效果比较  

Comparison of different anesthetic techniques for patients with anorectal diseases.

作　　者：李平 陈彩凤 

机构地区：[1]深圳市光明新区人民医院麻醉科,广东深圳518106

出　　处：《海南医学》2013年第3期372-374,共3页Hainan Medical Journal

摘　　要：目的探讨肛肠病患者不同麻醉方法的效果。方法选取我院肛肠病手术患者60例,其中局麻组19例,骶麻组17例,小剂量腰麻组24例。对其临床资料进行回顾性分析。结果腰麻组起效时间明显少于其他两组,且麻醉效果维持时间明显长于其他两组(P<0.05),局麻组不良反应发生率为31.58%,骶麻组为23.53%,腰麻组为16.67%,与骶麻组和局麻组比较差异具有统计学意义(P<0.05)。腰麻组于首次排便时、术后24h内以及换药时疼痛发生率均明显低于其他两组(P<0.05)。结论采用小剂量腰麻具有麻醉效果确切,术后疼痛发生率低的特点,是肛肠手术比较理想的麻醉方法。Objective To study the effect of different anesthetic techniques for patients with anorectal dis-eases. Methods The clinical data of 60 patients with anorectal diseases undergoing surgery in our hospital were ret- rospectively analyzed. The patients were divided into three groups： the local anesthesia group （n=19）, the sacral hemp group （n=lT）, and the small dose lumbar hemp group （n=24）. Results The small dose Lumbar hemp group had sig-nificantly shorter onset time and significantly longer anesthetic duration than the other two groups （P〈0.05）. The inci-dence of adverse reactions was 16.67% in the small dose lumbar hemp group, showing statistically significant differ-ence with that of the local anesthesia group （31.58%）and the sacral hemp group （21.05%）, P〈0.05. The incidence of pain were significantly lower in the small dose lumbar hemp group than the other two groups at the first bowel move-ment, dressing change and within postoperative 24 h （P〈0.05）. Conclusion The small dose lumbar hemp technique has significant anesthetic effect and low incidence of postoperative pain, which serves as an ideal anesthetic method for anorectal surgery.

关 键 词：肛肠病 麻醉方法 术后疼痛 

分 类 号：R57[医药卫生—消化系统]