摘要
目的探讨腰硬联合麻醉与持续硬膜外麻醉在腹式子宫肌瘤手术中的应用效果。方法选取2015年9月至2017年9月间北京大学首钢医院收治的100例子宫肌瘤患者,采用随机数字表法分为研究组和对照组,每组50例。研究组患者手术中采用腰硬联合麻醉方法麻醉,对照组患者手术中采用持续硬膜外麻醉,比较两组患者的麻醉效果、麻醉前后血压变化及不良反应发生情况。结果研究组患者麻醉优良率为98.0%,高于对照组的74.0%,差异有统计学意义(P<0.05)。麻醉前,两组患者血压比较,差异无统计学意义(P>0.05);麻醉后,研究组患者收缩压和舒张压均低于对照组,差异均有统计学意义(均P<0.05)。研究组患者不良反应发生率为4.0%,低于对照组的28.0%,差异有统计学意义(P<0.05)。结论腹式子宫肌瘤术中采用腰硬联合麻醉方法麻醉,起效时间较短,麻醉效果良好,不良反应发生率低,值得临床推广应用。
Objective To compare the efficacy of combined spinal and epidural（ CSE） anesthesia in the operation for abdominal hysteromyoma. Methods One hundred patients with uterine fibroids receiving treatment at Peking University Shougang Hospital from September 2015 to September 2017 were selected and divided into two groups a study group and a control group with 50 patients in each group. Patients in the study group received CSE anesthesia and patients in the control group received continuous epidural anesthesia in the operation,. The anaesthesia efficacy,the change of blood pressure before and after anaesthesia,and the adverse reactions were compared. Results The optimal rate of anesthesia was 98. 0% in the study group which was significantly higher than 74. 0% of the control group（ P〈 0. 05）. There was no evident difference in blood pressure between the two groups before anesthesia（ P〉 0. 05）. However,after anesthesia,diastolic and systolic blood pressure was significantly lower in the study group than in the control group（ all P〈 0. 05）. In terms of adverse reactions,the incidence of adverse reactions was 4. 0% in the study group which was significantly lower than 28. 0% of the control group（ P〈 0. 05）. Conclusion In abdominal surgery for uterine fibroids,CSE anesthesia needs short time to have effect,and anesthesia effect is good,with few adverse reactions. It is worthy of further popularization and application.
作者
李琪
刘雪梅
孟庆辉
LI Qi;LIU Xue-mei;MENG Qing-hui(Department of Anesthesiology, Peking University Shougang Hospital, Beijing 100144, China)
出处
《中国肿瘤临床与康复》
2018年第6期708-710,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
腰硬联合麻醉
持续硬膜外麻醉
子宫肌瘤
Combined spinal and epidural anesthesia
Continuous epidural anesthesia
Surgery for Uterine fibroid
