CT联合超声引导骨科手术腰椎硬膜外麻醉分析  

Analysis of CT Combined with Ultrasound Guided Lumbar Epidural Anesthesia in Orthopedics Surgery

作　　者：吴静 罗晓刚[2] 

机构地区：[1]湖北中医药大学黄家湖医院麻醉科,湖北武汉431700 [2]武汉工程大学化工与制药学院,湖北武汉431700

出　　处：《中国医药导刊》2017年第9期892-895,共4页Chinese Journal of Medicinal Guide

基　　金：国家自然科学基金(项目编号:51303142;项目名称:再生纤维素微球的可控制备及结构和性能关系研究)

摘　　要：目的:探讨计算机断层扫描(CT)联合超声引导骨科手术腰椎硬膜外麻醉的可行性和经济效益。方法:将拟行骨科手术治疗患者60例按数字随机法分为研究组(n=30)和对照组(n=30)。对照组行超声引导腰椎硬膜外麻醉和手术治疗,研究组在CT和超声引导下行腰椎硬膜外麻醉和手术治疗。比较两组麻醉有效率(效益,E_(研究组)、E_(对照组))、麻醉准备时间、穿刺时间、1次穿刺成功率、起效时间及麻醉相关费用(成本、C_(研究组)、C_(对照组))等,并计算比较两组成本效益比(R)(R_(研究组)=C_(研究组)/E_(研究组)、R_(对照组)=C_(对照组)/E_(对照组))以及研究组相对对照组增加的成本-增加的效果比[ΔR=(C_(研究组)-C_(对照组))/(E_(研究组)-E_(对照组))]。结果:研究组麻醉有效率为93.33%,高于对照组的63.33%(P<0.05)。与对照组比较,研究组麻醉准备时间和穿刺时间缩短、1次穿刺成功率和麻醉相关费用提高,差异有统计学意义(P<0.05)。两组起效时间和并发症发生率比较差异无统计学意义(P>0.05)。R_(研究组)为9.99,R_(对照组)为11.76,ΔR为6.26,CT联合超声引导骨科手术腰椎硬膜外麻醉的经济效益良好。结论:CT联合超声引导骨科手术腰椎硬膜外麻醉是骨科手术腰椎硬膜外麻醉的经济、安全有效方案。Objective： To investigate the feasibility and economic benefit of computed tomography（ CT） combined with ultrasound guided lumbar epidural anesthesia in orthopedics surgery. Methods： 60 cases of patients who were treated with orthopedics were divided into study group（ n = 30） and control group（ n = 30） randomly. The control group was treated with ultrasound guided lumbar epidural anesthesia and surgical treatment,and the study group was treated with CT and ultrasound guided lumbar epidural anesthesia and surgical treatment. Anesthesia efficiency（ efficiency,E（study group）,E（control group）,anesthesia preparation time,puncture time,oncepuncture success rate,anesthesia onset time,and anesthesia related costs（ cost,C（study group）,C（control group） of two groups were compared. The benefit cost ratio（ R）（ R（study group）= C（study group）/E（study group）,R（control group）= C（control group）/E（control group） of two groups were calculated and compared. Increased cost and increased effect of the study group relative to the control group [ΔR =（ C（study group）-C（control group）/（ E（study group）-E（control group） ] was also calculated. Results： The anesthesia effective rate of the study group was 93. 33%,which was higher than 63. 33% of the control group（ P〈 0. 05）. Compared with the control group,the anesthesia preparation time and puncture time of the study group were shorter,and the once puncture success rate and anesthesia related costs of the study group were increased（ P〈 0. 05）. There was no significant difference in the anesthesia onset time and complication rate in the two groups（ P〉 0. 05）. R（study group）was 9. 99,R（control group）was 11. 76,ΔR was6. 26,the economic benefits of CT combined with ultrasound guided lumbar epidural anesthesia in orthopedics surgery was excellent.Conclusion： CT combined with ultrasound guided lumbar epidural anesthesia in orthopedics surgery is an economical,safe and effective met

关 键 词：计算机断层扫描 超声 骨科手术 腰椎硬膜外麻醉 经济效益 

分 类 号：R614[医药卫生—麻醉学] R730.44[医药卫生—外科学]