本文選題：濃度利　切入點：多卡因　出處：《成都中醫(yī)藥大學(xué)》2014年碩士論文

【摘要】：目的：觀察1.0%利多卡因20m1腰俞穴麻醉用于混合痔手術(shù)的麻醉安全性及術(shù)后排尿情況。 方法：將89例來自成都中醫(yī)藥大學(xué)附屬醫(yī)院肛腸科病人隨機分入1.0%利多卡因20m1腰俞穴麻醉組(以下稱為試驗組)和1.5%利多卡因20m1腰俞穴麻醉組(以下稱為對照組),其中試驗組44例,對照組45例。兩組手術(shù)均采用外剝內(nèi)扎硬注術(shù),進行前瞻性的臨床觀察,并記錄兩組病例術(shù)中及術(shù)后相關(guān)的評價指標(biāo)：麻醉不良反應(yīng)、麻醉起效時間、麻醉療效、術(shù)中直腸牽拉反射、術(shù)后疼痛、術(shù)后首次排尿時間、術(shù)后首次排尿通暢情況、首次排尿后膀胱排空情況、術(shù)后尿潴留發(fā)生率及導(dǎo)尿率,應(yīng)用醫(yī)學(xué)統(tǒng)計學(xué)軟件SPSS19.0對結(jié)果進行對比分析。當(dāng)P0.05時表示差異無統(tǒng)計學(xué)意義,P0.05時表示差異有統(tǒng)計學(xué)意義。 結(jié)果：兩組麻醉起效時間、麻醉療效、術(shù)中直腸牽拉反射、術(shù)后疼痛(VAS評分)等方面差異無統(tǒng)計學(xué)意義(P0.05),試驗組在麻醉不良反應(yīng)、術(shù)后首次排尿時間、術(shù)后首次排尿通暢情況、首次排尿后膀胱排空情況、術(shù)后尿潴留發(fā)生率及導(dǎo)尿率與對照組之間有顯著性差異(P0.05)。 結(jié)論：1.0%利多卡因20m1腰俞穴麻醉用于混合痔手術(shù),具有1.5%利多卡因20m1腰俞穴麻醉相同的麻醉效果,還有術(shù)中麻醉不良反應(yīng)少、術(shù)后首次排尿時間早、首次排尿后膀胱排空好、術(shù)后尿潴留發(fā)生率及導(dǎo)尿率低等優(yōu)點,降低了麻醉風(fēng)險,減輕了術(shù)后反應(yīng)。具有臨床推廣價值。
[Abstract]:Objective: to observe the anesthetic safety and urination of 1.0% lidocaine 20m1 for mixed hemorrhoids.Methods: a total of 89 patients from the anal and intestinal departments of the affiliated Hospital of Chengdu University of traditional Chinese Medicine were randomly divided into 1.0% lidocaine 20m1 Yaoshu anesthesia group (hereinafter referred to as the experimental group) and 1.5% lidocaine 20m1 Yaoshu anesthesia group (hereinafter referred to as the control group).There were 44 cases in the test group.Control group 45 cases.The patients in both groups were treated with external exfoliation and epidural injection, and the related evaluation indexes during and after operation were recorded: adverse reaction of anesthesia, onset time of anesthesia, curative effect of anesthesia, rectal reflex during operation.Postoperative pain, the first time of urination after operation, the condition of unobstructed urination for the first time after operation, the condition of bladder emptying after first urination, the incidence of postoperative urinary retention and the rate of catheterization were compared and analyzed with the medical statistics software SPSS19.0.There was no significant difference when P05 showed no statistical significance. P05 indicated that the difference was statistically significant.Results: there was no significant difference between the two groups in terms of onset time, anaesthesia effect, rectal traction reflex during operation, postoperative pain and VAS score (P 0.05). The adverse reaction of anesthesia, the first time of urination after operation, and the unobstructed first time of urination after operation were observed in the experimental group.The rate of urinary retention and catheterization after the first urination was significantly different from that of the control group (P 0.05).Conclusion 20m1 of 1.0% lidocaine has the same anesthetic effect on mixed hemorrhoid surgery with 1.5% lidocaine 20m1, less adverse reaction during operation, early urination time after operation, and bladder emptying after first urination.The low rate of urinary retention and catheterization reduces the risk of anesthesia and postoperative reaction.It has the value of clinical popularization.
【學(xué)位授予單位】：成都中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R614

【參考文獻】

相關(guān)期刊論文 前10條

1 何雯玉;;肛腸病術(shù)后并發(fā)尿潴留的原因和防治體會[J];長春中醫(yī)藥大學(xué)學(xué)報;2007年03期

2 邢喜平;廖行忠;賀平波;溫瑤明;陳東東;;腰俞穴麻醉在肛腸手術(shù)中的應(yīng)用(附131例報告)[J];結(jié)直腸肛門外科;2008年02期

3 李江;金華;李艷華;;不同麻醉方式應(yīng)用于復(fù)雜性肛瘺手術(shù)及術(shù)后鎮(zhèn)痛的觀察[J];廣東醫(yī)學(xué);2012年02期

4 陽作體,賀志光;針刺治療101例術(shù)后癃閉療效觀察[J];貴陽醫(yī)學(xué)院學(xué)報;1999年02期

5 魏多剛;;肛管內(nèi)神經(jīng)阻滯在肛腸手術(shù)中的臨床應(yīng)用[J];河北醫(yī)藥;2006年01期

6 胡允梅;張研;謝丹;;0.5%羅哌卡因與布比卡因10mg在蛛網(wǎng)膜下腔阻滯的比較[J];河南外科學(xué)雜志;2009年04期

7 孟瑞霞;李巖;鞏繼平;王培山;;硬膜外阻滯側(cè)臥位注藥在肛腸手術(shù)中的應(yīng)用[J];河南外科學(xué)雜志;2010年01期

8 梁秋英,李華;足三里穴位注射法治療肛腸術(shù)后尿潴留的療效觀察[J];黑龍江中醫(yī)藥;1998年05期

9 任宏兵;;腰俞穴麻醉在肛腸科手術(shù)中的應(yīng)用[J];河南中醫(yī);2009年08期

10 鮑淑敏;孟凌新;;預(yù)防異丙酚注射痛的研究進展[J];實用藥物與臨床;2010年04期

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