腰俞穴中药穴位注射麻醉用于肛肠手术研究  

Anesthesia of waist-shu acupoint-injection with traditional Chinese medicine in anorectal operation

作　　者：庞峻 陈思敏[1] 占煜 孔鹏飞[3] 唐学贵[3] 

机构地区：[1]川北医学院肛肠疾病研究所,四川南充637000 [2]成都市第一人民医院,四川成都610072 [3]川北医学院附属医院肛肠科,四川南充637000

出　　处：《川北医学院学报》2016年第4期513-516,共4页Journal of North Sichuan Medical College

基　　金：四川省教育厅青年基金项目(11ZB184)

摘　　要：目的:通过对腰俞穴中药穴位麻醉与肛周局部浸润麻醉进行临床对比研究,比较两种麻醉方式的优点和缺点,为肛肠手术麻醉选择提供指导。方法:收集临床病例80例,随机分为试验组和对照组(每组各40例):试验组采用复方薄荷脑注射液行腰俞穴穴位注射;对照组采用20 m L(1.5%盐酸利多卡因)注射液注射于肛门周围皮下组织、两侧的坐骨直肠窝。观察两组病例麻醉不良反应情况、术中疼痛情况、术中镇痛范围、术中肛门松弛情况。结果:两组病例采用两种不同麻醉方式后,镇痛范围、疼痛情况以及肛门的松弛情况差异有统计学意义(P<0.05);对两组病例的麻醉不良反应进行统计学分析,差异无统计学意义(P>0.05)。结论:在肛肠手术时,采用腰俞穴中药穴位注射麻醉较采用肛周局部浸润麻醉具有多方面优势。Objective：Through clinical comparative study of anesthesia of acupoint-injection with traditional chinese medicine and perianal local infiltration anesthesia to observe the advantages and disadvantages of the two kinds of anesthesia and for anorectal surgery anesthesia choice to provide guidance. Methods：80 cases were randomly divided into trail group （n = 40） and control group （n = 40）. Trail group received waist-shu point anaesthesia with compound menthol injection while the control group was injected with 20 mL （1.5% lidocaine hydrochloride） injection in the subcutaneous tissue around the anus,and the rectal fossa on both sides. It was observed in the side effects of anesthesia, the level of pain, the range of pain and the degree of anal relaxation. Results：There were significant differences in the level of pain, the range of pain and the degree of anal relaxation between two groups （P 〈 0.05） ,whereas there was no difference in the side anesthetic effects in two groups （P 〉 0.05 ）. Conclusion：In anorectal operation,waist-shu point anaesthesia with compound menthol injection have more advantages than local anaesthesia.

关 键 词：复方薄荷脑注射液 腰俞穴麻醉 肛肠手术 

分 类 号：R614.41[医药卫生—麻醉学]