局部麻醉复合少量异丙酚静脉麻醉在痔疮切除术中的应用  

Application of local anesthesia and intravenous low-dose propofol anesthesia in hemorrhoidectomy

作　　者：邹创欢 张锡滔[2] 龙定超 ZOU Chuang-huan;ZHANG Xi-tao;LONG Ding-chao(Department of General Surgery, Shiqi People’s Hospital of Panyu district, Guangzhou 511450, China;Department of Proctology, Zhujiang Hospital of Southern Medical University, Guangzhou 510280, China)

机构地区：[1]广州市番禺区石碁人民医院普通外科,广东广州511450 [2]南方医科大学珠江医院肛肠科,广东广州510280

出　　处：《广东医科大学学报》2019年第4期416-419,共4页Journal of Guangdong Medical University

摘　　要：目的比较局部麻醉复合少量异丙酚静脉麻醉与腰硬联合麻醉在痔疮切除中效果。方法322例痔疮切除术患者给予腰硬联合麻醉(对照组)或罗哌卡因局部麻醉复合少量异丙酚静脉麻醉(观察组),比较两组术后疼痛评分、镇痛药物使用、不良反应。结果观察组术后120min内疼痛评分明显高于对照组(P<0.01),术后首次使用镇痛药物时间短于对照组(P<0.01),而术后尿潴留发生率、住院时间低于对照组(P<0.01或0.05)。结论局部麻醉复合少量异丙酚静脉麻醉应用于痔疮切除术安全有效。Objective To compare the effects of combined local anesthesia and intravenous low-dose propofol anesthesia versus combined spinal and epidural anesthesia in hemorrhoidectomy. Methods A total of 322 patients with hemorrhoidectomy received combined spinal and epidural anesthesia (control group) or combined local ropivacaine anesthesia and intravenous low-dose propofol anesthesia (observation group). Postoperative pain, analgesic use, and adverse reactions were compared between two groups. Results Compared with control group, postoperative pain scores within 120 min were higher (P<0.01), first use of analgesics was earlier (P<0.01), and incidence of urinary retention and hospital stay were lower in observation group (P<0.01 or 0.05). Conclusion Combined local anesthesia and intravenous low-dose propofol anesthesia are safe and effective for patients with hemorrhoidectomy.

关 键 词：局部麻醉 静脉麻醉 异丙酚 痔疮切除术 

分 类 号：R69[医药卫生—泌尿科学]