腰硬联合麻醉对单侧下肢骨关节手术患者疼痛程度、凝血功能的影响分析  

Effect Analysis of Combined Lumbar and Epidural Anesthesia on Pain Level and Coagulation Function of Patients with Unilateral Lower Limb Joint Surgery

作　　者：陈凡华 CHEN Fanhua(Linyi City Pingyi County People's Hospital,Pingyi,Shandong 273300)

机构地区：[1]山东省临沂市平邑县人民医院,山东平邑273300

出　　处：《智慧健康》2023年第11期231-235,共5页Smart Healthcare

摘　　要：目的 分析对单侧下肢骨关节手术患者施以腰硬联合麻醉对凝血功能和疼痛程度的影响。方法 分析对象选择于2021年6月-2022年6月就诊于本院的单侧下肢关节手术患者70例,随机抽签方法施以分组分析,施以腰硬联合麻醉的35例患者分入试验组,施以全身麻醉的35例患者分入对照组,对麻醉效果(手术指标、凝血功能、生命体征、疼痛程度)进行对比和分析。结果 两组手术指标对比相当,差异无统计学意义(P>0.05);术后试验组凝血功能(PT、aPTT)明显高于对照组,差异显著(P<0.05);两组患者Fbg手术前后比较无明显差异(P>0.05);术后试验组血压水平和心率水平高于对照组,差异有统计学意义(P<0.05);试验组疼痛程度明显好于对照组(P<0.05);试验组麻醉满意度高于对照组,差异显著(P<0.05)。结论 对单侧下肢骨关节手术患者施以腰硬联合麻醉效果突出,在凝血功能、疼痛程度和生命体征方面均有改善作用,建议推广。Objective To analyze effect of combined lumbar epidural anesthesia on coagulation function and pain level of patients with unilateral lower limb joint surgery.Methods The paper chose 70 patients with unilateral lower limb joint surgery in our hospital from June 2021 to June 2022 as analysis objects,and carried on grouping analysis by random lots casting.35 cases in experimental group were treated with combined lumbar epidural anesthesia,and 35 cases in control group with general anesthesia.Anesthesia effect(surgical indicators,coagulation function,vital signs,and pain level)was compared and analyzed.Results Comparison of surgical indicators between two groups was comparable,with no statistically significant difference(P>0.05);postoperative coagulation function(PT,aPTT)of experimental group was significantly higher than control group,with significant difference(P<0.05);there was no significant difference between two groups before and after Fbg surgery(P>0.05);postoperative blood pressure and heart rate levels in experimental group were higher than control group,with statistically significant difference(P<0.05);pain level in experimental group was significantly better than control group(P<0.05);satisfaction degree with anesthesia in experimental group was higher than control group,with significant difference(P<0.05).Conclusion Combination of lumbar and epidural anesthesia can achieve significant effect on patients with unilateral lower limb joint surgery,can improve coagulation function,pain level and vital signs,which is recommended for promote.

关 键 词：单侧下肢骨关节手术 腰硬联合麻醉 凝血功能 疼痛程度 

分 类 号：R614[医药卫生—麻醉学]