全麻与局麻行椎体后凸成型术的疗效对比分析  

Comparative Analysis of the Therapeutic Effect of General Anesthesia and Local Anesthesia for Kyphoplasty

作　　者：魏兵 WEI Bing(Department of Orthopaedics,Suzhou Yongding Hospital,Suzhou,Jiangsu Province,215200 China)

机构地区：[1]苏州永鼎医院骨科,江苏苏州215200

出　　处：《世界复合医学》2018年第4期57-59,共3页World Journal of Complex Medicine

摘　　要：目的分析和对比全麻与局麻对行椎体后凸成型术治疗疗效的影响。方法选择该院自2017年1月—2018年1月收治的60例行椎体后凸成型术治疗的患者作为研究对象,将其随机分成对照组和研究组,每组30例,对照组在局麻下行手术治疗,研究组在全麻下行手术治疗,对比两组患者治疗效果。结果治疗前,研究组患者脊柱后凸角度(21.4±8.0)°、椎体高度(51.5±10.4)%与对照组(21.3±8.2)°、(51.6±10.3)%对比均无显著差异(t=1.247、1.542,P>0.05);治疗后,研究组患者脊柱后凸角度(-8.4±0.5)°明显低于对照组(-5.2±0.3)°,研究组患者椎体高度(35.8±6.4)%明显高于对照组(28.7±5.6)%,两组对比差异有统计学意义(t=7.964、7.617,P<0.05)。研究组患者手术时间(40.3±3.5)min、术中出血量(3.2±0.4)mL与对照组(38.9±3.4)min、(3.9±0.6)mL对比均无显著差异(t=1.553、0.826,P>0.05);研究组患者术后住院时间(8.2±1.6)d明显长于对照组(5.4±1.3)d,两组对比差异有统计学意义(t=7.964,P<0.05)。研究组患者术中神经损伤发生率(10.0%)明显高于对照组(0.0%),两组对比差异有统计学意义(χ~2=7.143,P<0.05),研究组患者术后并发症发生率(6.7%)与对照组(3.3%)对比无显著差异(χ~2=1.185,P>0.05)。结论采用全麻或局麻对行椎体后凸成型术治疗均有一定的优势和劣势,前者的优势在于椎体复位效果良好,后者的优势在于术中神经并发症少和术后住院周期短,因此,临床可根据实际需求选择不同的麻醉方式。Objective To analyze and compare the effects of general anesthesia and local anesthesia on the therapeutic effect of kypho-plasty. Methods Sixty patients who underwent kyphoplasty from January 2017 to January 2018 were enrolled in the study. They were randomly divided into control group and study group, 30 cases in each group. Surgical treatment under local anesthesia, the study group underwent surgical treatment under general anesthesia, comparing the treatment effect of the two groups of patients. Results Be-fore treatment, the kyphosis angle(21.4±8.0)° and vertebral height(51.5±10.4)% of the study group were not significantly different from the control group(21.3±8.2)° and(51.6±10.3)%(t1=1.247, t2=1.542, P>0.05); after treatment, the kyphosis angle of the study group(-8.4±0.5)° was significantly lower than that of the control group(-5.2±0.3)°, and the height of the vertebral body of the study group was(35.8±6.4)% was significantly higher than the control group(28.7±5.6)%, and the difference between the two groups was significant(t=7.964,7.617, P<0.05). There was no significant difference between the study group(40.3 ±3.5) min, intraoperative blood loss(3.2±0.4) mL and the control group(38.9±3.4) min,(3.9±0.6) mL(t=1.553, 0.826, P>0.05); the postoperative hospital stay(8.2±1.6) d was significantly longer in the study group than in the control group(5.4±1.3) d. The difference between the two groups was significant(t=7.964, P<0.05). The incidence of intraoperative nerve injury in the study group(10.0%) was significantly higher than that in the control group(0.0%). The difference between the two groups was significant(χ~2=7.143, P<0.05). The postoperative complication rate in the study group(6.7%). There was no significant difference between the control group(3.3%)(χ~2=1.185, P>0.05). Conclusion The use of general anesthesia or local anesthesia for kyphoplasty has certain advantages and disadvantages. The former has the advantage of good vertebral body reduction. The latter has the advantage of

关 键 词：全麻 局麻 椎体后凸成型术 对比 

分 类 号：R683.2[医药卫生—骨科学]