小剂量罗哌卡因联合低浓度糖鞍麻在肛肠手术中的应用研究  

Study on Application Effect of Saddle Anesthesia with Small dose ofRopivacaine and Lower Concentration of Sugar in Anorectal Surgery

作　　者：龚丽娜 GONG Lina(Mentougou Hospital of Traditional Chinese Medicine,Beijing 102300,China)

机构地区：[1]北京市门头沟区中医医院,北京102300

出　　处：《大医生》2020年第13期96-98,共3页Doctor

摘　　要：目的观察25 G针直接作为穿刺针小剂量罗哌卡因联合低浓度糖鞍麻在肛肠手术中的应用效果。方法选取2014年1月至2016年11月北京市门头沟区中医医院收治的290例肛肠手术患者为研究对象,按照随机数字表法将其分成常规腰麻组(对照组)和25 G针小剂量组(治疗组),每组145例。比较两组总操作时间,麻醉起效时间,肛门括约肌自主收缩以及自主排尿的恢复时间,发生腰背部痛、头痛、尿潴留等麻醉并发症的例数和患者满意度。结果对照组和治疗组麻醉效果均能满足手术要求,且两组麻醉起效时间比较,差异无统计学意义(P>0.05);两组总操作时间比较,差异有统计学意义(P<0.05);术后,治疗组腰背部痛、头痛、尿潴留等麻醉并发症均低于对照组,差异有统计学意义(P<0.05)。两组肛门括约肌力恢复时间和自主排尿恢复时间比较,差异有统计学意义(P<0.05)。结论25 G针小剂量罗哌卡因联合低浓度糖鞍麻在肛肠手术中的操作时间短,麻醉并发症少,术后肛门括约肌恢复时间和自主排尿恢复时间短,患者术后恢复平稳。Objective To observe the application of 25 G needle as puncture needle in anorectal surgery with low dose ropivacaine combined with low concentration sacral anaesthesia.Methods A total of 290 patients who underwent anorectal surgery in Mentougou Hospital of Traditional Chinese Medicine from January 2014 to November 2016 were selected as the study subjects and divided into routine lumbar anesthesia group(control group)and 25 G needle low dose group(treatment group)according to random number table method,with 145 patients in each group.The total operation time,onset time of anesthesia,recovery time of sphincter’s contraction and urination,number of cases of anesthetic complications such as back pain,headache,urinary retention and patient satisfaction were compared between the two groups. Results The anesthetic effect of the control group and the treatment group bothmet the surgical requirements,and there was no significant difference in the onset time of anesthesia between thetwo groups(P>0.05). However,there was a significant difference in total operation time between the two groups(P<0.05).and postoperative lower back pain,headache,urinary retention and other anesthesia complications werelower in the treatment group than in the control group,and the difference was statistically significant(P <0.05).Two groups of anal sphincter force recovery time and recovery time automatic micturition have significant difference(P<0.05). Conclusions The operation time of 25 G needle low-dose ropivacaine combined with low-concentrationsugar sella anesthesia in anorectal surgery is short,the anesthesia complications are few,the recovery time ofanal sphincter and self-urination is short,the postoperative recovery of the patient is stable.

关 键 词：小剂量罗哌卡因 低浓度糖 鞍麻 肛肠手术 尿潴留 

分 类 号：R47[医药卫生—护理学]