腰硬联合麻醉与持续硬膜外麻醉在子宫肌瘤手术中的临床应用效果  

Clinical Application of Combined Spinal and Epidural Anesthesia and Continuous Epidural Anesthesia in Uterine Fibroid Surgery

作　　者：李增智 LI Zengzhi(Department of Anesthesiology,Bohai Hospital of Gaizhou City,Gaizhou 115200,China)

机构地区：[1]盖州市博海医院麻醉科,辽宁盖州115200

出　　处：《中国医药指南》2021年第12期61-62,共2页Guide of China Medicine

摘　　要：目的探究腰硬联合麻醉与持续硬膜外麻醉在子宫肌瘤手术中的临床应用效果。方法选取我院2018年2月至2019年2月收治的76例行子宫肌瘤手术的患者作为研究对象。将所有患者按照入院顺序随机分为腰硬联合组、持续麻醉组,各38例。持续麻醉组患者给予持续硬膜外麻醉,腰硬联合组患者给予腰硬联合麻醉。对比两组患者的麻醉效果、麻醉起效时间、阻滞完全时间及不良反应发生情况。结果腰硬联合组麻醉优良率为97.37%,高于持续麻醉组的84.21%,差异有统计学意义(P<0.05)。腰硬联合组麻醉起效时间(1.53±0.41)min、阻滞完全时间(6.42±0.90)min均短于持续麻醉组的(7.35±1.14)min、(16.57±4.36)min,差异有统计学意义(P<0.05)。腰硬联合组不良反应发生率为7.89%,低于持续麻醉组的26.32%,差异有统计学意义(P<0.05)。结论与持续硬膜外麻醉相比,给予子宫肌瘤手术患者腰硬联合麻醉的效果更佳,可显著缩短手术麻醉起效时间及阻滞完全时间,降低不良反应发生率。Objectives To explore the clinical application of combined spinal and epidural anesthesia and continuous epidural anesthesia in uterine fibroid surgery.Methods Seventy-six patients with uterine fibroid surgery who were admitted to our hospital from February 2018 to February 2019 were selected as subjects.All patients were randomly divided into the lumbar and hard group and the continuous anesthesia group according to the order of admission,38 cases in each group.Continuous epidural anesthesia was given to patients in the continuous anesthesia group,and combined spinal and epidural anesthesia was given to patients in the lumbar and hard group.The anesthetic effect,the onset time of anesthesia,the complete time of blockade and the occurrence of adverse reactions were observed and compared between the two groups.Results The excellent and good rate of anesthesia in the lumbar and hard group was 97.37% higher than 84.21%in the continuous anesthesia group,the difference was statistically significant(P<0.05).The onset time of anesthesia in the lumbar and hard group(1.53±0.41)minutes and the complete time of blockade(6.42±0.90)minutes were shorter than those in the continuous anesthesia group(7.35±1.14)minutes and(16.57±4.36)minutes,the difference was statistically significant(P<0.05).The incidence of adverse reactions was 7.89% in the lumbar and hard group,which was lower than 26.32% in the continuous anesthesia group,the difference was statistically significant(P<0.05).Conclusion Compared with continuous epidural anesthesia,patients with uterine fibroid surgery have better combined effect of spinal and epidural anesthesia,which can significantly shorten the time of onset of anesthesia and the complete time of blockade,and reduce the incidence of adverse reactions.

关 键 词：子宫肌瘤 腰硬联合麻醉 持续硬膜外麻醉 手术 不良反应 

分 类 号：R737.33[医药卫生—肿瘤]