腰硬联合旁路穿刺法在剖宫产麻醉中预防腰背痛的应用效果  

Application effect of combined lumbar stiffness and bypass puncture in the prevention of low back pain during cesarean section anesthesia

作　　者：刘根凤[1] 黄友芳[1] 刘轶 刘琼[1] 钟恩慧 LIU Gen-feng;HUANG You-fang;LIU Yi;LIU Qiong;ZHONG En-hui(Department of Anesthesiology,Xingguo People′s Hospital,Jiangxi Province,Xingguo342400,China)

机构地区：[1]江西省兴国县人民医院麻醉科,江西兴国342400

出　　处：《中国当代医药》2020年第22期144-146,共3页China Modern Medicine

基　　金：江西省赣州市指导性科技计划项目(GZ2019ZSF442)。

摘　　要：目的探究腰硬联合旁路穿刺法在剖宫产麻醉中预防腰背痛的应用效果。方法选取2018年4月~2019年9月入院治疗的剖宫产患者500例作为研究对象,采取抛硬币法随机分为观察组与对照组,每组各250例。观察组采用旁路穿刺法,对照组采用正中穿刺法,两组均行腰硬联合麻醉。比较两组患者麻醉效果、麻醉相关指标及不良反应、腰痛情况。结果观察组患者麻醉总舒适度高于对照组,不良反应总发生率低于对照组,差异均有统计学意义(P<0.05);观察组麻醉起效时间、麻醉手术时间均短于对照组,用药剂量少于对照组,差异有统计学意义(P<0.05);观察组术后3周腰痛发生率低于对照组,差异有统计学意义(P<0.05)。结论在剖宫产麻醉中应用腰硬联合旁路穿刺法的临床麻醉效果显著,能有效降低患者腰背痛发生率及不良反应发生率,满足患者麻醉需求,值得推广应用。Objective To explore the application effect combined lumbar stiffness and bypass puncture in the prevention of low back pain during cesarean section anesthesia.Methods A total of 500 patients with cesarean section who were admitted to the hospital from April 2018 to September 2019 were selected as the research objects.The coin toss method was used randomly to divided patients into observation group and control group,with 250 cases in each group.The observation group used bypass puncture,and the control group used median puncture.Both groups underwent combined lumbar and hard anesthesia.The anesthesia effect,anesthesia related indexes,adverse reactions and low back pain were compared between the two groups.Results The total anesthesia comfort of the observation group was higher than that in the control group,and the total incidence of adverse reactions was lower than that in the control group,the differences were statistically significant(P<0.05).The onset of anesthesia effect time and anesthesia operation time in the observation group were shorter than those in the control group,and the dosage was less than that in the control group,the differences were statistically significant(P<0.05);the incidence of low back pain at 3 weeks after operation in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion The application of lumbar stiffness combined with bypass puncture in the anesthesia of cesarean section is effective in the clinical anesthesia,effectively reducing the incidence of low back pain and the incidence of adverse reactions in patients,meeting the anesthesia needs of patients,and worthy of popularization and application.

关 键 词：腰硬联合麻醉 旁路穿刺法 剖宫产麻醉 腰背痛预防 应用价值 

分 类 号：R614.27[医药卫生—麻醉学]