摘要
为探讨不同剂量布比卡因腰麻用于肛肠手术的效果,将拟于腰麻下行手术治疗的90例肛肠疾病患者随机分为甲组、乙组和丙组,各30例,3组均应用布比卡因进行腰麻,但剂量不同,甲组2.5mg,乙组3.5mg,丙组7.5mg,比较3组患者麻醉前5min(T_(0))、麻醉后5min(T_(1))、术后5min(T_(2))的心率(HR)和平均动脉压(MAP),术中追加舒芬太尼用药率,术后不良反应及下床活动情况。结果显示,3组患者T_(0)、T_(1)、T_(2)的HR和MAP比较差异均无统计学意义,P>0.05。甲组术中追加用药率明显高于乙组和丙组,P<0.05;乙组和丙组比较差异无统计学意义,P>0.05。甲组、乙组术后6h下床活动率明显高于丙组,术后4h尿潴留发生率明显低于丙组,P<0.05;甲组、乙组比较差异无统计学意义,P>0.05。结果表明,肛肠手术应用3.5mg布比卡因腰麻既可保证麻醉效果,又可降低术后尿潴留发生风险,有利于患者术后早期下床活动。
This study was to investigate the efficacy of different dosages of bupivacaine for lumbar epidural anesthesia(LEA)during coloproctological surgery,randomly divided 80patients with coloproctological diseases to be subject to surgery,randomly divide 80patients with coloproctological diseases to be subject to surgery under LEA into group A,B and C;the three groups received LEA,but at different dosages of bupivacaine:group A,2.5mg;group B 3.5mg;group C 7.5mg.Then,compared three groups following items as the HR and MAP at T_(0)(5min,before anesthesia),T_(1)(5min,after anesthesia),and T_(2)(5min,after surgery);intraoperative added rate of sufentanil,postoperative unward reaction,and status on ambulation out-ofbed between the three groups.As results,in the HR and MAP at T_(0),T_(1)and T_(2)there was no statistical difference between the three groups(P>0.05);in intraoperative added rate of sufentanil group A was significantly higher than group B and C (P<0.05),there was no statistical difference between group B and group C (P>0.05);in ambulation status(rate)on out-of-bed group A and B’s rate 6hafter surgery were significantly higher than group C’s one(P<0.05),uroschesis incidence 4hafter surgery were significantly lower than group C’s one(P<0.05),but there was no statistical difference between group A and group B(P>0.05).Results show that for coloproctological surgery under LEA with 3.5mg of bupivacaine the anesthesia efficacy not only is ensured,but postoperative uroschesis risk is reduced,which all are beneficial to patients’ambulation out-of-bed after surgery.
作者
范江红
周先科
FAN Jiang-hong;ZHOU Xian-ke(Dept.of Anesthesia,Xingsha Hospital of Changsha County,Changsha,Hunan 110100;The TCM Hospital of Changsha City/Changsha City’s 8th Hospital,Changsha,Hunan 410100)
出处
《中国肛肠病杂志》
2021年第8期50-52,共3页
Chinese Journal of Coloproctology
关键词
肛肠手术
布比卡因
腰麻
剂量
效果
Colorectal surgery
Bupivacaine
Lumbar epidural anesthesia
Dosage
Efficacy
