硬膜外两种给药方式在妇科手术中的麻醉应用分析  

Anesthesia analysis of two methods of epidural anesthesia in gynecologic surgery

作　　者：张岳春 王宏伟[2] 

机构地区：[1]宜兴市官林医院麻醉科,江苏宜兴214251 [2]泰兴市第三人民医院麻醉科,江苏泰兴225400

出　　处：《实用妇科内分泌电子杂志》2016年第21期119-120,共2页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的观察硬膜外麻醉两种给药方式在妇科手术中的效果,探讨其最佳方式。方法选择我院拟行手术治疗的80例妇科患者,随机分为N组(40例)和S组(40例)。N组患者硬膜外穿刺(L2-3)向头侧置管4 cm,注入0.5%罗哌卡因15 ml;S组患者硬膜外穿刺(L2-3)时缺口朝向足侧,推注0.5%罗哌卡因5 ml,再向头侧置管4 cm,注入0.5%罗哌卡因10 ml。两组患者的试验量均使用2%利多卡因4 ml。观察两组患者的麻醉效果。结果 S组患者的麻醉效果明显优于N组,差异有统计学意义(P<0.05)。结论在相同用药量情况下硬膜外麻醉双向给药方式阻滞范围广,镇痛效果好,牵拉反应发生率明显减少,是比较理想的给药方式。Objective To observe the effect of two methods of epidural anesthesia on gynecologic surgery and to explore the best way. Methods Eighty patients of gynecologic patients who were going to undergo surgical treatment in our hospital were randomly divided into N group(40 cases) and group S(40 cases). Patients in group N with epidural puncture(L2-3) cephalad catheter 4cm, injection of 0.5% ropivacaine 15ml;Patients in group S with epidural puncture(L2-3) when the gap toward the foot side, injection of 0.5% ropivacaine 5ml and cephalad catheter 4cm, injection of 0.5% ropivacaine 10 ml.The two groups of patients were tested with 2% lidocaine 4ml. The anesthetic effects of the two groups were observed. Results The anesthesia effect of group S was obviously better than that of group N, the difference was statistically significant(P<0.05). Conclusion Under the same dosage, epidural anesthesia has a wide range of blocking, a good analgesic effect, and a significant decrease in the incidence of traction reaction. It is an ideal way of administration.

关 键 词：硬膜外麻醉 给药方式 妇科手术 

分 类 号：R614[医药卫生—麻醉学]