新专利轨道式腰麻-硬膜外联合穿刺针的应用研究  

Research of patent orbital combined spinal-epidural puncture needle compare with traditional Tuohy needle in clinical application

作　　者：何伟[1] 朱纯纯[1] 王玲春[1] 李影[1] 朱开来[1] 张旭彤[1] 刘若海[1] 李军[1] 

机构地区：[1]温州医科大学附属第二医院麻醉科,浙江温州325027

出　　处：《温州医学院学报》2013年第9期603-606,共4页Journal of Wenzhou Medical College

基　　金：浙江省科技厅科研基金资助项目(2009C33132)

摘　　要：目的:对比观察轨道式腰麻-硬膜外联合穿刺针及传统Tuohy针在临床应用的安全性和有效性。方法:120例施行腰麻-硬膜外联合麻醉患者,选择L3-4间隙穿刺,随机分为轨道式腰麻-硬膜外联合穿刺针组(A组)和传统Tuohy针组(B组),每组60例。比较两组在穿刺准确性、穿刺时间、麻醉平面、穿刺时不良反应、麻醉效果等方面的不同。结果:两组穿刺时间、穿刺准确性、麻醉效果、穿刺时不良反应等方面差异无统计学意义(P>0.05),但A组麻醉平面低于B组(P<0.05),低血压、恶心呕吐、呼吸抑制等麻醉不良反应发生率明显低于B组(P<0.05)。结论:轨道式腰麻-硬膜外联合穿刺针操作简单、不良反应少、麻醉平面可控性好,值得在临床上推广应用。Objective： To compare and observe the safety and effectiveness of orbital combined spinal-epidural puncture needle with traditional Tuohy needle in clinical application. Methods： 120 patients undergoing combined spinal-epidural anesthesia by L3-4 gap were randomly divided into：the orbital combined spinal-epidural puncture needle group （group A） and traditional Tuohy needle group （group B）, n=60. Puncture accuracy, punc- ture time, anesthesia plane, difference of adverse reactions during puncture, side effects and anesthetic effect were compared between two groups. Results： There were no significant difference in puncture time, puncture accuracy, effects of anesthesia, adverse reactions in two groups （P〉0.05）. But anesthesia plane in group A was lower than those in group B （P〈0.05）. The incidence of hypotension, nausea, vomiting and respiratory depression was significantly less in group A than those in group B （P〈0.05）. Conclusion： The orbital combined spinal-epidural puncture needle could use valuable in clinical application with simple operation, few side effects and good controllability in anesthesia.

关 键 词：轨道式腰麻-硬膜外联合穿刺针 Tuohy针 腰麻-硬膜外联合麻醉 

分 类 号：R614.42[医药卫生—麻醉学]