不同麻醉方法应用于肛肠疾病手术的临床效果分析  

Clinical Effect Analysis of Different Anesthesia Methods Applied to Anorectal Diseases Surgery

作　　者：王冬[1] 袁媛[1] 何锦[1] 蔡辉[1] 李星辉[1] 刘燕[1] 汪洪晶 

机构地区：[1]甘肃省人民医院麻醉科,甘肃兰州730000

出　　处：《中国肛肠病杂志》2017年第8期36-38,共3页Chinese Journal of Coloproctology

基　　金：甘肃省中医药管理局科研课题（GZK-2014-29）

摘　　要：为探讨不同麻醉方式应用于肛肠疾病手术的效果,选取2015年3月至2017年3月于我科行手术治疗的100例肛肠疾病患者作为研究对象,根据麻醉方法不同分为A组（小剂量腰麻组,34例）、B组（骶麻组,33例）和C组（局麻组,33例）.对比3组患者麻醉起效及维持时间、麻醉效果、麻醉满意度、不良反应.结果显示,A组麻醉起效时间较B组、C组短（P〈0.05）,麻醉维持时间较B组、C组长（P〈0.05）,麻醉优良率高于B组、C组（P〈0.05）,患者对麻醉的满意度高于B组、C组（P〈0.05）,不良反应发生率显著低于B组、C组（P〈0.05）.结果表明,小剂量腰麻应用于肛肠手术颇具麻醉优势,其麻醉效果理想,值得推广应用.In order to explore the effect of different anesthesia methods used in anorectal disease surgery, 100 cases from March 2015 to March 2017 in authors＂ department for anorectal surgery patients as the re- search object were divided into group A（small dose spinal anesthesia group, 34 cases）, group B（sacral anesthesia group,33 cases）and group C（local anesthesia group,33 cases） according to the different methods of anesthesia.The onset of anesthesia, the duration of anesthesia, anesthesia effect, anesthesia satisfaction and adverse reaction were compared among 3 groups.As results,in onset time of anesthesia group A was shor- ter than group B and group C（ P〈0.05） ,in duration of anesthesia group A was longer than group B and group C（ P〈0.05） ,anesthesia effect of group A was higher than that of group B and group C（ P〈0.05）, in the satisfaction degree of patients to anesthesia the group A is higher than group B and group C （ P〈 0.05） ,the incidence of adverse reaction of group A was significantly lower than that of group B and group C （ P 〈0.05）.In conclusion,the low dose of spinal anesthesia in anorectal surgery has advantages,the anes- thetic effect is ideal, is worth the popularization and application.

关 键 词：肛肠手术 麻醉方法 麻醉效果 麻醉满意度 

分 类 号：R657.1[医药卫生—外科学]