摘要
目的:探讨经腹全子宫切除手术中持续硬膜外麻醉和腰硬联合麻醉的效果。方法:收治经腹全子宫切除术患者80例,随机分为对照组和观察组,对照组采用持续硬膜外麻醉,观察组采用腰硬联合麻醉,比较两组治疗效果。结果:观察组有效率95.0%,对照组有效率82.5%。麻醉前后,两组心率和血压都降低,观察组血压下降幅度更大,对照组心率明显减缓的更慢,两组在横向和纵向的比较差异有统计学意义(P<0.05)。结论:在经腹全子宫切除术中,腰硬联合麻醉的效果更显著,作用时间更长,不良反应少。
Objective:To explore the application effect of continuous epidural anesthesia and combined spinal epidural anesthesia in total abdominal hysterectomy.Methods:80 patients with total abdominal hysterectomy were selected.They were randomly divided into the control group and the observation group.The control group was given continuous epidural anesthesia.The observation group was given combined spinal epidural anesthesia.We compared the treatment effect of two groups.Results:The effective rate of the observation group was 95.0%,and the effective rate of the control group was 82.5%.Before and after anesthesia,the heart rate and blood pressure of the two groups were reduced;the blood pressure drop was greater in the observation group;the heart rate of the control group was slower;there were significant differences between groups in horizontal and vertical(P<0.05).Conclusion:In total abdominal hysterectomy,the effect of combined spinal epidural anesthesia was more significant.The effect time was longer,and the adverse reactions were less.
作者
许开波
Xu Kaibo(Chongqing Donghua Hospital(Shapingba District)400000)
出处
《中国社区医师》
2017年第7期58-59,共2页
Chinese Community Doctors
关键词
经腹全子宫切除手术
持续硬膜外麻
腰硬联合麻醉
Total abdominal hysterectomy
Continuous epidural anesthesia
Combined spinal epidural anesthesia
