蛛网膜下腔麻醉与硬膜外麻醉用于混合痔PPH的临床效果分析  

Clinical effect analysis of subarachnoid anesthesia and epidural anesthesia for PPH of mixed hemorrhoids

作　　者：刘洁 李西羊 高琴琴 李玉婷 LIU Jie;LI Xiyang;GAO Qinqin;LI Yuting(Department of Anesthesiology for Surgery,Xi′an Hospital of Traditional Chinese Medicine,Xi′an,Shaanxi 710000,China;Department of Anesthesiology,Northwest Women and Children′s Hospital,Xi′an,Shaanxi 710001,China)

机构地区：[1]陕西省西安市中医医院手术麻醉科,陕西西安710000 [2]西北妇女儿童医院麻醉科,陕西西安710001

出　　处：《检验医学与临床》2024年第8期1141-1144,共4页Laboratory Medicine and Clinic

摘　　要：目的分析蛛网膜下腔麻醉与硬膜外麻醉用于混合痔吻合器痔上黏膜环形切除术(PPH)的临床效果。方法选取2019年1月至2022年1月在陕西省西安市中医医院进行PPH治疗的100例混合痔患者作为研究对象,采用随机数字表法将其分为观察组和对照组,每组50例。对照组采用硬膜外麻醉,观察组采用蛛网膜下腔麻醉,比较两组患者围术期指标、感觉阻滞情况、麻醉效果及不良反应发生率,以及麻醉前后平均动脉压(MAP)、心率(HR)、血氧饱和度(SpO_(2))。结果两组患者手术时间、术中出血量、住院时间比较,差异均无统计学意义(P>0.05);观察组患者麻醉起效时间、感觉阻滞恢复时间、最高感觉阻滞时间均短于对照组麻醉效果好于对照组,差异均有统计学意义(P<0.05);两组患者麻醉前后MAP、HR、SpO_(2)比较,差异均无统计学意义(P>0.05);两组患者不良反应总发生率比较,差异无统计学意义(P>0.05)。结论相比硬膜外麻醉,蛛网膜下腔麻醉用于PPH的麻醉起效时间、感觉阻滞恢复时间、最高感觉阻滞时间更短,且对患者血流动力学影响较小,临床效果更好。Objective To analyze the clinical effect of subarachnoid anesthesia and epidural anesthesia for prolapse and hemorrhoids(PPH)of mixed hemorrhoids.Methods A total of 100 patients with mixed hemorrhoids treated with PPH in Xi′an Hospital of Traditional Chinese Medicine in Shaanxi Province from January 2019 to January 2022 were selected as the research objects,they were divided into observation group and control group by random number table method,with 50 cases in each group.The control group was treated with epidural anesthesia,and the observation group was treated with subarachnoid anesthesia.The perioperative indicators,sensory block,anesthesia effect and incidence of adverse reactions,mean arterial pressure(MAP),heart rate(HR)and blood oxygen saturation(SpO_(2))before and after anesthesia were compared between the two groups.Results There was no significant difference in operation time,intraoperative blood loss and hospitalization time between the two groups(P>0.05).The onset time of anesthesia,recovery time of sensory block and the highest sensory block time in the observation group were shorter than those in the control group and the anesthesia effect of the observation group was better than that of the control group,and the differences were statistically significant(P<0.05).There was no significant difference in MAP,HR and SpO_(2)between the two groups before and after anesthesia(P>0.05).There was no statistically significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion Compared with epidural anesthesia,subarachnoid anesthesia for PPH has shorter onset time of anesthesia,recovery time of sensory block,maximum sensory block time and less influence on hemodynamics,and it has better clinical effect.

关 键 词：神经传导阻滞 混合痔 吻合器痔上黏膜环形切除术 血流动力学 硬膜外麻醉 蛛网膜下腔麻醉 

分 类 号：R614.2[医药卫生—麻醉学]