摘要
目的观察一点法单次加连续硬膜外麻醉用于子宫肌瘤手术的麻醉效果。方法2 280例子宫肌瘤手术病人分为实验组(1 280例)和常规组(1 000例)。实验组:L2-3穿刺成功后将硬膜外穿刺针斜面旋至尾向并注药,之后旋转穿刺针斜面至头向并置入硬膜外导管平卧后按常规注药;常规组L4-5穿刺成功后,再行T11-12穿刺成功后置入硬膜外导管,分次注药。结果麻醉起效时间:实验组为(6.4±1.4)m in,常规组为(8.6±1.7)m in,差异显著(P<0.05);首次注药到阻滞平面能满足手术需要时间:实验组(10.4±2.7)m in,常规组(18.8±3.4)m in,差异非常显著(P<0.01);阻滞脊神经节段:实验组(8.3±1.8)个,常规组(6.4±0.8)个,差异非常显著(P<0.01);麻醉满意率:实验组98.6%,常规组为92.4%,差异显著(P<0.05)。各种麻醉并发症两组间无显著差异。结论一点法单次加连续硬膜外麻醉用于子宫肌瘤手术的效果优于常规硬膜外麻醉。
Objective To observe the effects of one point single combining continous epidural anesthesia using in hysteromymectomy.Methods 2 280 patients undergoing hysteromymectomy with epidural block were divided into two groups, one is the experimental group with 1 280 patients; another is the control with 1 000 patients. In the experimental group, after the block needle is successfully introduced into epidural space of L_(2-3) ,rotate the needle so as to direct the bevel facing towards the sacrum and inject local a...
出处
《吉林医药学院学报》
2005年第3期134-136,共3页
Journal of Jilin Medical University
关键词
麻醉
硬膜外
局麻药
血液动力学
anesthesia
epidural
local anesthetics
hemodynamics
