骶管麻醉及复合丙泊酚静脉麻醉在下腹部及会阴部手术中的应用效果  

Application Effect of Sacral Anesthesia and Compound Propofol Intravenous Anesthesia in Lower Abdomen and Perineum Surgery

作　　者：李波 于福玲 Li Bo;Yu Fu-ling(Shanghai Songjiang District Fangta Traditional Chinese Medicine Hospital,Shanghai 201620,China)

机构地区：[1]上海市松江区方塔中医医院,上海201620

出　　处：《中国社区医师》2022年第22期31-33,共3页Chinese Community Doctors

摘　　要：目的:探讨下腹部及会阴部手术行骶管麻醉及复合丙泊酚静脉麻醉的临床效果。方法:选取2019年7月-2020年7月上海市松江区方塔中医医院收治的行下腹部及会阴部手术麻醉124例患者为研究对象,根据随机数字表法分为观察组和对照组,各62例,分别采取骶管麻醉复合丙泊酚静脉麻醉、单纯骶管麻醉,对比观察两组患者的各项生理指标监测情况、术中情况监测、麻醉指标(麻醉起效时间、麻醉苏醒时间)、凝血功能指标[凝血酶时间(TT)、部分活化凝血活酶时间(APTT)以及血浆凝血酶原时间(PT)]。结果:用药前后,两组患者心率、血压比较,差异无统计学意义(P>0.05);对照组术中牵拉反应较观察组高,差异有统计学意义(P<0.05);观察组麻醉后血压下降程度、呼吸抑制与对照组相比,观察组较高,差异有统计学意义(P<0.05);观察组麻醉起效时间、麻醉苏醒时间较对照组更短,差异有统计学意义(P<0.05)。清醒后,观察组患者的PT、TT以及APTT值均较对照组高,差异有统计学意义(P<0.05)。结论:在下腹部及会阴部手术中,骶管麻醉复合丙泊酚静脉麻醉具有较高的应用价值,能够改善患者的生理指标、麻醉指标、凝血功能,可以确保术中较高的平稳性。Objective:To investigate the clinical effect of sacral anesthesia and compound propofol intravenous anesthesia in lower abdominal and perineal surgery.Methods:A total of 124 patients underwent lower abdominal and perineal surgery anesthesia who were admitted to Shanghai Songjiang District Fangta Traditional Chinese Medicine Hospital from July 2019 to July 2020 were selected as the study subjects.They were divided into observation group and control group according to random number table method,with 62 cases in each group.They were given sacral anesthesia and compound propofol intravenous anesthesia or sacral anesthesia alone.The monitoring of various physiological indicators,intraoperative conditions,anesthesia indicators(anesthesia onset time,anesthesia awakening time),coagulation function indicators[thrombin time(TT),partial activated thrombin time(APTT),and plasma prothrombin time(PT)]were observed and compared in two groups.Results:Before and after treatment,there was no significant difference in heart rate(HR)and blood pressure(BP)between the two groups(P>0.05);the intraoperative stretch reaction in the control group was higher than that in the observation group,with a statistically significant difference(P<0.05).Compared with the control group,the observation group has a higher circulation and respiratory depression after anesthesia,and the difference is statistically significant(P<0.05).The onset time of anesthesia and the recovery time of anesthesia in the observation group were shorter than those in the control group,and the difference was statistically significant(P<0.05).After waking up,the values of PT,TT and APTT in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusion:In lower abdominal and perineal surgery,sacral anesthesia combined with propofol intravenous anesthesia has a high application value,can improve the patient's physiological indicators,anesthesia indicators,coagulation function,and can ensure a high intraoper

关 键 词：静脉麻醉 骶管麻醉 丙泊酚 麻醉指标 

分 类 号：R614[医药卫生—麻醉学]