摘要
目的:观察分析25G细针小剂量布比卡因腰麻在肛肠科手术中的应用效果及安全性。方法:选取2014年3月-2015年4月本院收治的342例肛肠患者作为研究对象,根据随机数表法将其分为对照组和观察组,每组171例。对照组患者给予常规腰麻,观察组患者给予25G细针小剂量布比卡因腰麻。比较两组患者麻醉方法操作难度,麻醉效果、镇痛起效时间、恢复情况、感觉阻滞平面、运动阻滞程度、阻滞持续时间、不良反应及患者满意度。结果:对照组和观察组麻醉1次成功率分别为73.1%(125/171)和80.7%(138/171),比较差异有统计学意义(P<0.05);对照组和观察组麻醉总有效率分别为96.5%(165/171)和100%(171/171),比较差异有统计学意义(P<0.05);治疗后,对照组双下肢肌力恢复时间、自主排尿恢复、麻醉持续时间分别为(2.35±0.63)h、(16.32±4.52)h及(87.56±17.69)min,观察组以上三项指标分别为(1.56±0.22)h、(11.78±2.02)h及(60.34±13.21)min,比较差异均有统计学意义(P<0.05);观察组运动阻滞程度、不良反应发生情况及患者满意度均优于对照组,比较差异均有统计学意义(P<0.05)。两组患者镇痛起效时间及最高感觉阻滞平面(中位数)比较差异均无统计学意义(P>0.05)。结论:25G细针小剂量布比卡因腰麻应用在肛肠科手术中临床疗效显著,患者不良反应少,且满意度高,具有临床推广价值。
Objective：To observe and analyze the clinical effect and safety of 25G spinal needle with ultra low-dose Bupivacaine spinal anesthesia in anorectal surgery.Method：From March 2014 to April 2015, 342 cases of anorectal diseases in our hospital were selected as the research objects,they were randomly divided into the control group and the observation group,each group had 171 cases.The control group was given conventional anesthesia treatment which was 22G spinal needle wish regular doses Bupivacaine,while the observation group was given 25G spinal needle wish ultra low-dose Bupivacaine treatment.The operative difficulty index,anesthesia efficacy,analgesia onset time,recovery situation,sensory blockade plane,degree of motor block,duration of anesthesia,adverse reaction and degree of satisfaction in two groups were compared. Result：The success rate of primary anesthesia in the control group and observation group were respectively 73.1%（125/171） and 80.7%（138/171）,the differences were statistically significant（P〈0.05）.The total effective rate of anesthesia in the control group and observation group were respectively 96.5%（165/171）and 100%（171/171）.After treatment,recovery time of lower limb muscle strength,autonomic micturition recovery time,duration of anesthesia in the control group were respectively （2.35±0.63）h,（16.32±4.52）h and （87.56±17.69）min,the three indexes of observation group were respectively,（1.56±0.22）h,（11.78±2.02）h and （60.34±13.21）min,the differences were statistically significant（P〈0.05）.The degree of motor block, adverse reactions and patient satisfaction rate in the observation group were better than those of the control group, the differences were statistically significant（P〈0.05）.Analgesia onset time and maximum sensory block level 〈br〉 （median）of the two groups had no significant differences（P〉0.05）.Conclusion：25G spinal needle with ultra low-dose Bupivacaine spinal anesthesia has significant efficacy in the an
出处
《中国医学创新》
CAS
2016年第23期117-120,共4页
Medical Innovation of China
基金
九江市科技计划项目(201402013)
关键词
肛肠科手术
25G细针
布比卡因
腰麻
临床疗效
Anoreclal surgery
25G spinal needle
Bupivacaine
Spinal aneslhesia
Clinical efficacy
