發(fā)布時(shí)間：2018-01-06 15:21

  本文關(guān)鍵詞：對行陰式子宮全切手術(shù)的患者實(shí)施腰硬聯(lián)合麻醉的效果研究　出處：《當(dāng)代醫(yī)藥論叢》2016年16期 　論文類型：期刊論文

  更多相關(guān)文章： 硬膜外麻醉 腰硬聯(lián)合麻醉 陰式子宮全切術(shù) 效果

【摘要】：目的 :探討對進(jìn)行陰式子宮全切手術(shù)的患者實(shí)施腰硬聯(lián)合麻醉的臨床效果。方法 :對2013年7月~2014年9月期間在我院進(jìn)行陰式子宮全切手術(shù)的98例患者的臨床資料進(jìn)行回顧性研究。按照麻醉方法的不同將這98例患者分為硬膜外麻醉組和腰硬聯(lián)合麻醉組,每組各有49例患者。對兩組患者均進(jìn)行陰式子宮全切手術(shù)治療。在進(jìn)行手術(shù)期間,對硬膜外麻醉組患者進(jìn)行單純硬膜外麻醉,對腰硬聯(lián)合麻醉組患者進(jìn)行腰硬聯(lián)合麻醉。然后,比較兩組患者的麻醉效果、術(shù)中的各項(xiàng)麻醉指標(biāo)及其術(shù)后并發(fā)癥的發(fā)生率。結(jié)果 :腰硬聯(lián)合麻醉組患者的麻醉效果、術(shù)中的心率和平均動脈壓均明顯優(yōu)于硬膜外麻醉組患者,二者相比差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。在術(shù)中,兩組患者的心電圖指標(biāo)和血氧飽和度均無明顯變化,且均未發(fā)生不良反應(yīng)。兩組患者均未發(fā)生術(shù)后并發(fā)癥。結(jié)論 :對進(jìn)行陰式子宮全切手術(shù)的患者實(shí)施腰硬聯(lián)合麻醉的效果顯著,且安全性高。
[Abstract]:Objective: to investigate the clinical effect of combined spinal-epidural anesthesia on patients undergoing vaginal hysterectomy. The clinical data of 98 patients undergoing vaginal hysterectomy from July 2013 to September 2014 in our hospital were retrospectively studied. According to the different anesthetic methods, 98 patients were divided into epidural. External anesthesia group and combined spinal-epidural anesthesia group. There were 49 patients in each group. The patients in both groups were treated with vaginal hysterectomy. During the operation, the patients in the epidural anesthesia group were treated with simple epidural anesthesia. Combined spinal-epidural anesthesia was performed on the patients in the combined spinal-epidural anesthesia group. Then, the anesthetic effects of the two groups were compared. Results: the anesthetic effect, heart rate and mean arterial pressure in the combined spinal-epidural anesthesia group were significantly better than those in the epidural anesthesia group. The difference between the two groups was statistically significant (P 0.05). During the operation, there were no significant changes in electrocardiogram index and blood oxygen saturation in the two groups. There were no adverse reactions and no postoperative complications in both groups. Conclusion: the effect of combined spinal-epidural anesthesia on patients undergoing vaginal hysterectomy is significant and the safety is high.
【作者單位】： 岑溪市中醫(yī)醫(yī)院麻醉科;
【分類號】：R614
【正文快照】： 近年來,隨著臨床醫(yī)療技術(shù)水平的不斷發(fā)展,陰式子宮全切手術(shù)因具有術(shù)中對腹腔的干擾小、術(shù)后并發(fā)癥少、患者恢復(fù)得快、住院的時(shí)間短等優(yōu)點(diǎn),被廣泛地應(yīng)用于臨床上。但是,進(jìn)行陰式子宮全切手術(shù)對麻醉的要求相對較高。為此,我院對2013年7月~2014年9月期間進(jìn)行陰式子宮全切手術(shù)的98，

本文編號：1388432