腰俞穴麻醉并中药穴位注射用于混合痔手术临床研究.pdfVIP

成都中医药大学硕士论文 中 文 摘 要 目的：观察腰俞穴麻醉并中药穴位注射的麻醉效果及安全性。 方法：选取需手术的混合痔患者70 例，随机分为试验组 35 例和对照组 35 例。 试验组采用1%盐酸利多卡因10ml 作腰俞穴麻醉成功后，将5ml 薄荷脑利多卡因复方制 剂（克泽普：含薄荷脑6.5mg）行腰俞穴注射。对照组采用1%盐酸利多卡因20ml 作腰 俞穴麻醉。手术采用常规外切（剥）内扎术。观察两组患者术中疼痛情况、肛门松弛情 况、麻醉不良反应、麻醉起效及持续时间、术中是否追加麻药、术后疼痛情况、术后有 无肛缘水肿、尿潴留等并发症，以及有无头晕、胸闷、心慌、瘙痒、皮疹、恶心、呕吐 等不良反应。疼痛的评分采用视觉模拟评分法(Visualnaaloguescale ，VAS)。 结果：腰俞穴麻醉合并克泽普腰俞穴注射麻醉法与单纯腰俞穴麻醉比较，麻醉持 续时间、麻醉不良反应、术后疼痛分度，术后尿潴留均具有统计学差异（P0.05）；术 中疼痛分度、术中麻醉起效时间、术中追加麻药量、肛门松弛情况、术后肛缘水肿情况 无统计学差异（P0.05）。 结论：腰俞穴麻醉合并克泽普行腰俞穴注射能够提高临床麻醉效果，相对安全性 强，同时在术后镇痛及减少术后尿潴留方面效果明显。 关键词：薄荷脑复方制剂；中药穴位注射；腰俞穴麻醉；混合痔手术 - 1 - 成都中医药大学硕士论文 Abstract Objective: To evaluate the anesthetic effect and safety of waist-shu anesthesia uniting traditional Chinese acupuncture anesthesia. Methods: Select the required mix of hemorrhoid surgery 70 patients and they were divided into test group and control group, each has 35 cases. Experimental group were treated with 10ml of 1% lidocaine for waist-shu anesthesia .After the success of Acupoint, take 5ml of Compound menthol lidocaine hydrochloride injection (Ke Zepu: containing menthol 6.5mg) slowly into yaoshu points. The control group were used 20ml of 1% lidocaine for spinal anesthesia Acupoint.the therapy adopt external dissection and internal ligation. Patients were observed in pain, anus relaxing, anesthesia side effects, the onset and duration of anesthesia, adding to anaesthetic or not，postoperative pain, postoperative whether the anal margin of edema, fecal incontinence, urinary retention, complications, and whether the head dizziness, chest tightness, palpitation, itching, rash, nausea, vomiting and other adverse reactions. The pain score used visual analogue sca