蛛网膜下腔麻醉下行膝关节镜术后患者麻醉恢复情况回顾性研究  

Retrospective Study of Anesthesia Recovery after Knee Arthroscopy under Spinal Anesthesia

作　　者：刘研[1] 郭鑫悦 刘文静[1] 冯琳[1] 宁静 王莹[1] Liu Yan;Guo Xinyue;Liu Wenjing;Feng Lin;Ning Jing;Wang Ying(Peking University Third Hospital,Beijing 100191,China)

机构地区：[1]北京大学第三医院,北京100191

出　　处：《中国运动医学杂志》2023年第10期802-806,共5页Chinese Journal of Sports Medicine

摘　　要：目的:观察在蛛网膜下腔麻醉下行膝关节镜手术后患者下肢浅感觉、运动恢复和首次排尿、排气的情况。方法:选取北京某三级甲等医院运动医学科2020年5月~11月连续收治的72例在蛛网膜下腔麻醉下行膝关节镜手术治疗的患者,男性56例、女性16例,年龄13~59岁。观察并记录患者浅感觉恢复时间、运动恢复时间、首次排尿和首次排气的时间,分析上述指标与性别、年龄、体重、手术时长、止血带时长和麻醉时长的相关性。结果:蛛网膜下腔麻醉下行膝关节镜手术患者浅感觉恢复时间是在给予麻醉药物后333.40±115.04 min,双下肢运动恢复时间是在给予麻醉药物后263.13±84.48 min,运动恢复时间早于浅感觉恢复时间约100 min,患者首次排尿时间为358.33±111.78 min,患者首次排气时间为354.51±130.16 min。男性浅感觉恢复时间为352.05±115.18 min,大于女性268.13±90.29 min(t=2.684,P=0.009);男性运动恢复时间为274.55±84.77 min,大于女性223.13±72.36 min(t=2.205,P=0.031);男性首次排尿时间为376.43±113.25 min,大于女性295.00±81.34 min(t=2.679,P=0.009);不同性别之间患者首次排气时间无显著性差异(P>0.05)。浅感觉恢复时间和运动恢复时间与患者年龄、体重、手术时长、止血带时长和麻醉时长不具有相关性(P>0.05)。结论:蛛网膜下腔麻醉下行膝关节镜术后运动恢复时间早于浅感觉恢复时间,首次排尿时间和首次排气时间均在浅感觉恢复之后,女性浅感觉恢复时间、运动恢复时间、首次排尿时间大约在麻醉用药后4~6小时,早于男性的大约在麻醉用药后6~8小时。Objective To observe the recovery of superficial sensation and movement of lower limbs,the first urination and exhaust of patients after knee arthroscopy under spinal anesthesia.Methods Sev-enty-two patients undergoing arthroscopic knee surgery under subarachnoid anesthesia in the Sports Medicine Department of a class-3 grade-A hospital in Beijing between May and November 2020 were selected,including 56 males and 16 females,ranging in age from 13 to 59.The recovery time of su-perficial sensation and movement,first urination and exhaust were observed and recorded respectively.Then,the correlation of the above indexes to gender,age,weight,operation duration,tourniquet time and anesthesia time was analyzed.Results The patients regained their superficial feeling and lower limbs mobility 333.40±115.04 and 263.13±84.48 min after the anesthesia,with the recovery of the lower limbs movement 100 minutes earlier than the superficial feeling.Moreover,the first urina-tion and exhaust time were 358.33±111.78 min and 354.51±130.16 min after the lumbar anesthe-sia,respectively.In addition,the superficial feeling,lower limbs mobility and first urination of the males were 352.05±115.18 min,274.55±84.77 min and 376.43±113.25 min after the anesthe-sia,significantly later than the females(268.13±90.29 min,t=2.684,P=0.009;223.13±72.36 min,t=2.205,P=0.031;295.00±81.34 min,t=2.679,P=0.009).However,no significant differences were found between different sexes in their first exhaust(P>0.05).Moreover,superficial sense and motion recovery were not correlated with the age and weight,as well as the durationof surgery,hemostatic band application and anesthesia(P>0.05).Conclusion The motion recovery after knee arthroscopy under subarachnoid anesthesia is earlier than the superficial sensation,followed by the first urination and first exhaust.Female patients regain their superficial sensation,movement and the first urination about 4~6 hours after anesthesia,earlier than males as they do about 6~8 hours after it.

关 键 词：蛛网膜下腔麻醉 下肢 关节镜 麻醉恢复 

分 类 号：R614[医药卫生—麻醉学]