子宫全切术应用腰硬联合麻醉效果观察.docVIP

子宫全切术应用腰硬联合麻醉效果观察 　　[摘要] 目的 观察并比较子宫全切术应用腰硬联合麻醉不同穿刺法的麻醉效果。 方法 随机选取2012年1月～2013年12月在本院择期接受子宫全切术治疗患者106例，按照完全抽样法1∶1分成两组，对照组53例采用单间隙腰硬联合麻醉，研究组53例采用双间隙腰硬联合麻醉，比较两组的生命体征指标、麻醉效果与综合疗效。 结果 麻醉后10 min、进腹探查及牵拉时，两组的HR及MAP分别进行比较，差异有统计学意义（P0.05）；对照组进腹探查与牵拉时的HR与MAP均显著低于麻醉前，研究组麻醉后5、10 min的MAP显著低于麻醉前，差异有统计学意义（P0.05）。研究组麻醉起效时间长于对照组，麻醉维持时间与消退时间短于对照组，差异有统计学意义（P0.05）。研究组麻醉平面对称率高于对照组，牵拉反应、追加用药、低血压与心动过缓发生率均低于对照组，差异有统计学意义（P0.05）。 结论 子宫全切术应用双间隙腰硬联合麻醉患者的生命体征更稳定，具有较高的安全性。 　　[关键词] 子宫全切术；腰硬联合麻醉；单间隙；双间隙；效果 　　[中图分类号] R713.4+2 [文献标识码] A [文章编号] 1674-4721（2014）09（b）-0124-03 　　Effect observation of combined spinal and epidural anesthesia in hysterectomy 　　JIANG Jing 　　Department of Anesthesiology，Hospital of Traditional Chinese Medicine of Pei County in Jiangsu Province，Pei County 221600，China 　　[Abstract] Objective To observe and compare anesthesia effect of combined spinal and epidural anesthesia（CSEA）different puncture methads in hysterectomy. Methods 106 cases of patients with hysterectomy from January 2012 to December 2013 in our hospital were randomly selected and divided into groups according to the sampling method completely 1∶1，single gap CSEA was used in control group（53 patients），double gap CSEA was used in study group（53 patients）.The vital signs index，anesthetic effect and curative effect in two groups was compared respectively. Results After anesthesia of 10 min，laparotomy and pull，HR and MAP in two groups was compared respectively，with statistical difference（P0.05）.At laparotomy and pull，HR and MAP in control group was significantly lower than that before anesthesia respectively（P0.05）.After anesthesia of 5，10-min，MAP in study group was significantly lower than that before anesthesia respectively，with statistical difference（P0.05）.The onset time of anesthesia in study group was longer than that in control group，anesthesia duration and extinction time in study group was shorter than that in control group respectively，with statistical difference（P0.05）.Anesthesia plane symmetric ra