腰硬联合麻醉用于妇产科手术后并发症的临床观察  

Clinical observation of complications after surgery about waist hard joint anesthesia application in obstetrics and gynecology operation

作　　者：杨敏[1] 薛荣亮[1] 

机构地区：[1]西安交通大学第二附属医院麻醉科,西安710061

出　　处：《陕西医学杂志》2016年第12期1590-1591,共2页Shaanxi Medical Journal

基　　金：陕西省科技厅社会发展科技项关项目(2016SF-111)

摘　　要：目的:对腰硬联合麻醉用于妇产科手术后并发症进行观察。方法:选取妇产科的患者100例,对其实行腰硬联合麻醉手术后的第1天、第3天、第15天、第1个月、第3个月和第6个月的神经根刺激症、穿刺点疼痛、腰痛、头痛、尿潴留、低血压和呕吐等情况进行记录。结果:术后第1天出现了5例神经根刺激征,9例穿刺点疼痛,8例腰痛,4例头痛,4例尿潴留,20例低血压,7例呕吐,但经过对症治疗后,在第6个月并发症状基本消失了。结论:腰硬联合麻醉用于妇产科手术中虽然有很好的应用价值,但对并发症的发生也不能掉以轻心,应积极地给予相应的预防和对症治疗。Objective ：To explore the Clinical observation of complications after surgery about waist hard joint anesthesia application in obstetrics and gynecology operation .Methods ：S100 cases of obstetrics and gynecology patients were selected in our hospital ,after the operation of waist hard joint anesthesia ,nerve root stimulation ,the puncture point pain ,waist pain ,headache ,urinary retention ,hypotension ,and vomiting were recorded for the post-operative day 1 ,day 3 ,day 15 ,month 1 ,month 3 and month 6 .Results ：There were 5 cases of nerve root irritation , 9 cases of piercing pain ,8 cases of lower back pain ,4 cases of headache ,4 cases of urinary retention ,20 cases of hypotension and 7 cases of vomiting after postoperative day 1 ,but all concurrent symptoms disappeared after symptomatic treatment in 6 months .Conclusion ：Waist hard joint anesthesia used in gynecological surgery had a very good application value ,but the complications also cannot be treated lightly and should actively be given corresponding prevention and symptomatic treatment .

关 键 词：妇科外科手术 产科外科手术 @腰硬联合麻醉 手术后并发症 

分 类 号：R614.4[医药卫生—麻醉学]