HBV携带及感染的妇科手术患者硬膜外麻醉效果及置管出血率观察  

Clinical observation of epidural anesthesia effect and hemorrhage rate of cannulation during gynecological surgeries in HBV infected patients

作　　者：张宁[1] 程斌[1] 尚跃宏[1] 

机构地区：[1]北京北京老年医院麻醉科,100095

出　　处：《国际病毒学杂志》2015年第5期301-304,共4页International Journal of Virology

摘　　要：目的 探究HBV携带及感染并进行妇科手术患者进行硬膜外麻醉效果以及置管出血率状况,为临床妇科手术麻醉治疗提供指导意义.方法 选取自2010年2月来我院就诊的HBV携带并进行妇科手术患者35例,作为携带组,HBV感染并进行妇科手术患者38例,作为感染组,同时选取肝功能正常、无HBV感染或携带并进行妇科手术患者40例作为对照组,对三组患者进行硬膜外麻醉并观察分析麻醉效果和置管出血率状况.结果 麻醉起效时间和麻醉完善时间上,三组之间不存在统计学差异（P＞0.05）,在低血压和心率减慢不良反应发生状况上,三组之间不存在统计学差异（P＞0.05）,在置管出血率上,携带组和感染组要好于对照组（x^2=4.303,P=0.038;x^2=4.879,P=0.027）,在麻醉效果上,携带组优良率为82.86％（29例）,感染组优良率为76.32％（29例）,对照组优良率为77.5％（31例）,三组之间不存在统计学差异（P＞0.05）.结论 HBV携带和感染妇科手术与非携带和感染患者妇科手术硬膜外麻醉效果无差异,但置管出血率前者高于后者.Objective To explore the clinical effects of epidural anesthesia and hemorrhage rate of cannulation in HBV infected patients receiving gynecological surgery, so as to provide guidance for the clinical therapy of anesthesia in gynecological operations.Methods From February 2010, 35 HBV carrier patients receiving gynecological operations were selected as the carrier group in our hospital, and 38 HBV infected patients receiving gynecological operations were selected as the infection group.Forty patients without HBV infection but received gynecological operations were used as thecontrol group.Epidural anesthesia was used for all patients, and the effect and hemorrhage rate of cannulation were observed and analyzed.Results For the anesthesia onset time and perfect time, there was no statistically significant difference among the three groups （P 〉 0.05）.For the event of hypotension and bradycardia adverse reaction condition, there was no statistically significant difference between the three groups （P 〉 0.05）.The tube hemorrhage rate of carrier group and infection group were more than that of the control group（x2 =4.303, P =0.038;x2 =4.879, P =0.027）.For the anesthesia effect, the excellent and good rates were 82.86% （29 cases） in the carrier group, 76.32% （29 cases） in the infection group and 77.5% （31 cases） in the control group was.There is no statistical difference between the three groups （P 〉 0.05）.Conclusions Epidural anesthesia effects in different groups showed no difference, but the hemorrhage rate of cannulation in different groups had a certain difference.

关 键 词：硬膜外麻醉 置管出血率 

分 类 号：R614[医药卫生—麻醉学]