摘要
为探究骶管麻醉与肛周浸润麻醉在微创肛肠病手术中的应用效果,回顾性分析我院2020年3月至2021年1月接受微创肛肠病手术患者107例,根据麻醉方式不同分为对照组53例和观察组54例。对照组患者采用肛周浸润麻醉,观察组患者采用骶管麻醉,观察2组患者麻醉前后体征变化、临床麻醉效果及并发症发生情况。结果显示,观察组组患者麻醉后心率(HR)、平均动脉压(MAP)和血氧饱和度(SaO_(2))均优于对照组(P<0.05);观察组麻醉药物用量、麻醉起效时间少于或短于对照组(P<0.05),麻醉持续时间长于对照组(P<0.05);观察组患者并发症发生率低于对照组(P<0.05)。结果表明,骶管麻醉与肛周浸润麻醉应用于微创肛肠病手术中均会影响患者体征,但骶管麻醉较肛周浸润麻醉在临床应用中效果更理想、安全。
This study was to investigate the efficacy of sacral anesthesia(SA)and perianal infiltration anesthesia(PAIA)amidst mini-invasive surgery for coloproctological diseases,authors reviewed and analysed the data of 107patients underwent this surgery in author's hospital(2020-03-2021-01),according to anesthesia patterns divided them into control group(53cases,under PAIA)and observation group(54cases,under SA);then,observed both groups'patients'physical sign change before and after anesthesia,clinical anesthesia efficacy,and complication status.As results,after anesthesia patients'HR,MAP and SaO_(2)in observation group were superior to that in control group(P<0.05);And,in anesthesia drugs dose,onset-efficacy time,and lasted time observation group was respectively less,shorter and longer than control group(all,P<0.05);the complication incidence of observation group was lower than that of control group(P<0.05).Results show that both patterns of anesthesia all influence patients'physical signs,but SA is more better and safer than PAIA clincially.
作者
范铮
赵大刚
FAN Zheng;ZHAO Da-gang(Xuchang City's Hospital of TCM,Henan 461000)
出处
《中国肛肠病杂志》
2021年第10期46-48,共3页
Chinese Journal of Coloproctology
关键词
肛肠疾病
微创手术
骶管麻醉
肛周浸润麻醉
Coloproctological disease
Mini-invasive surgery
Sacral anesthesia
Perianal infiltration anesthesia
