小剂量利多卡因联合两点扇形麻醉对混合痔手术的效果及预后研究  

The Effect and Prognosis of Low-dose Lidocaine Combined with Two-point Fan Anesthesia on Mixed Hemorrhoid Surgery

作　　者：李传令 LI Chuanling(Department of Anesthesiology and Surgery,Juye County Beicheng Hospital,Heze,Shandong Province,274900 China)

机构地区：[1]巨野县北城医院麻醉手术科,山东菏泽274900

出　　处：《系统医学》2022年第13期59-62,66,共5页Systems Medicine

摘　　要：目的研究小剂量利多卡因联合两点扇形麻醉应用于混合痔手术患者麻醉中的效果及预后。方法选取2020年1月—2021年1月在巨野县北城医院肛肠科实施混合痔手术治疗的300例患者为研究对象,以方便抽样法分为参照组、观察组,各150例。其中参照组患者麻醉方式为骶管麻醉,观察组患者麻醉方式为小剂量2%盐酸利多卡因注射液联合两点扇形麻醉。观察对比两组患者麻醉阻滞前后血流动力学改变情况、麻醉维持和肛门收缩恢复时间、直肠牵拉反射情况,以及术后检测指标、并发症及麻醉效果。结果观察组感觉阻滞维持时间以及运动阻滞维持时间短于参照组,而观察组术后肛门收缩恢复情况以及直肠牵引反射情况也优于参照组,差异有统计学意义(P<0.05);观察组患者各项术后指标水平均优于参照组患者,差异有统计学意义(P<0.05);观察组术后并发症发生率(13.33%)低于参照组(36.00%),差异有统计学意义(χ^(2)=20.737,P<0.05);观察组麻醉总有效率(94.67%)高于参照组(81.33%),差异有统计学意义(χ^(2)=12.626,P<0.05)。结论混合痔手术应用小剂量2%利多卡因骶管麻醉联合两点扇形麻醉方案能够增加局麻镇痛效果、增加麻醉效果,且能够减少麻醉对于患者造成的痛苦,患者术后也能够得到较好的恢复。Objective To study the effect and prognosis of low-dose lidocaine combined with two-point fan anesthesia in patients with mixed hemorrhoid surgery.Methods A total of 300 patients who underwent mixed hemorrhoid surgery in the Anorectal Department of Juye County Beicheng Hospital from January 2020 to January 2021 were selected as the research subjects.They were divided into reference group and observation group by convenience sampling method,with 150 cases in each group.The anesthesia method of the control group was caudal anesthesia.The anesthesia method of the observation group was low-dose 2%lidocaine hydrochloride injection combined with twopoint fan anesthesia.The hemodynamic changes before and after anesthesia block,the time of anesthesia maintenance and recovery of anal contraction,the rectal retraction reflex,as well as postoperative detection indicators,complications and anesthesia effects were observed and compared between the two groups.Results The maintenance time of sensory block and motor block in the observation group was shorter than that in the reference group,and the postoperative recovery of anal contraction and rectal traction reflex in the observation group were also better than those in the reference group,and the difference was statistically significant(P<0.05).The postoperative indexes of the observation group were better than those of the reference group,and the difference was statistically significant(P<0.05).The incidence of postoperative complications in the observation group(13.33%)was lower than that in the reference group(36.00%),the difference was statistically significant(χ^(2)=20.737,P<0.05);the total effective rate of anesthesia in the observation group(94.67%)was higher than that in the reference group(81.33%),and the difference was statistically significant(χ^(2)=12.626,P<0.05).Conclusion The application of low-dose 2%lidocaine caudal anesthesia combined with two-point fan anesthesia in mixed hemorrhoid surgery can increase the analgesic effect of local anesthesia and increase

关 键 词：利多卡因 混合痔手术 两点扇形麻醉 预后 

分 类 号：R614[医药卫生—麻醉学]