全麻联合局部浸润麻醉在急腹症患者手术中的应用  

Application of Local Infiltration Anesthesia Combined with General Anesthesia in Acute Abdomen Surgery

作　　者：沈黎红[1] 

机构地区：[1]首都医科大学附属北京世纪坛医院麻醉科,北京100038

出　　处：《武汉大学学报（医学版）》2015年第1期148-150,共3页Medical Journal of Wuhan University

摘　　要：目的:观察局部浸润在急腹症患者全麻手术苏醒期的疗效。方法:选择2012年2月-2013年3月88例急腹症病患接受全麻手术治疗的患者,随机分为观察组(46例)和对照组(42例)。观察组患者全身麻醉联合局部浸润方法;对照组患者采用单纯全身麻醉方法,对比两组患者苏醒期表现情况。结果:两组麻醉效果对比观察组优占76.09%(35/46),显著高于对照组,优良率高出18.11%。两组患者苏醒期临床症状对比,观察组体温异常、血压异常、排尿困难、烦躁以及误吸的发生率,均显著低于对照组。提示急腹症患者全麻手术时联合局部浸润麻醉的方法,有效地减少了苏醒期各种不良临床反应的发生,差异均有统计学意义(均P<0.05)。结论:在急腹症患者采用全麻联合局部浸润麻醉的方法,麻醉效果更好,苏醒期的不良症状减轻,值得临床进一步推广。Objective：To study the effect of local infiltration anesthesia in recovery period of general anesthesia patients underwent acute abdomen surgery.Methods：From February 2012 to March2013,88 acute abdomen cases received local anesthesia surgery were randomly divided into local infiltration group（46cases）and control group（42cases,only received conventional anesthesia）.The clinical features during recovery period were compared between the two groups.Results：The excellent and good rate for anesthesia in local infiltration group was significantly higher than in control group（84.78% versus 66.67%,P〈0.05）.The incidence of adverse clinical responses such as abnormal blood pressure,abnormal temperature,dysuresia,dysphoria,etc.,was lower in local infiltration group than in control group（P〈0.05）.Conclusion：In patients with acute abdomen,local anesthesia application shows better anesthetic effect and has less adverse responses than conventional general anesthesia.

关 键 词：局部浸润 急腹症患者 全麻手术 苏醒期 疗效观察 

分 类 号：R614[医药卫生—麻醉学]