摘要
目的观察小剂量地塞米松用于硬膜外腔防治腰硬联合麻醉穿刺时神经根损伤的临床疗效。方法 62例腰硬联合麻醉穿刺过程中出现神经根刺激症状即为神经根损伤的手术病人,随机均分为2组。Ⅰ组在术中、术毕硬膜外腔注射地塞米松5mg,对照组给予相同体积的生理盐水,术后对患者进行随访评估。结果Ⅰ组优31例,有效率100%,并发症发生率0。Ⅱ组优21例,良8例,差2例,有效率67.7%,并发症发生率32.3%,Ⅰ组疗效明显优于Ⅱ组(P<0.01)。结论地塞米松硬膜外腔注射显著降低腰硬联合麻醉穿刺时神经根损伤并发症的发生率。
Objective To investigate the effect of dexamethasone on nerve root injury caused by puncturing during the combined lumbar and peridural anesthesia. Methods 62 cases, which had symptoms of never root irritation or suspected never root injury, were randomized divided into two groups. Treatment group was given an epidural injection of dexamethasone at a dose of 5mg during and after operation, while control group received the equal volume of normal saline at the same time. Follow-up assessment was made for all patients after operation. Results The groupⅠwere all excellent, the availability rate was 100%,By contrast, 21 cases of the groupⅡwere excellent,8 cases were good, two cases were bad, so the availability rate was 67.7%, the incidence rate of complication was 32.3%, Over all the clinical efficacy of groupⅠwas significant better than groupⅡ（P0.01）. Conclusion The administration of dexamethasone decreased the incidence rate of nerve root injnry during the continuous spinal anaesthesia puncture.
出处
《当代医学》
2011年第9期20-21,共2页
Contemporary Medicine
关键词
地塞米松
腰硬联合麻醉
神经根
Dexamethasone
Continuous spinal epidural anaesthesia
Nerve root
