腰硬联合麻醉在妇产科手术中的应用 贾洪林.docVIP

精品论文 参考文献 腰硬联合麻醉在妇产科手术中的应用 贾洪林 贾洪林 　　新津县妇幼保健院 四川成都 611430 　　摘要：目的：探究腰硬联合麻醉在妇产科手术中的应用效果，以为其临床推广应用提供科学依据。方法：选取我院2012年5月至2014年7月收治的100例行妇产科手术患者为研究对象，经本院伦理委员会批准及患者知情同意情况下分为对照组和研究组各50例，其中对照组采取硬膜外麻醉，研究组采取腰硬联合麻醉，比较两组患者麻醉效果及不良反应发生率。结果：研究组患者通过采用腰硬联合麻醉，麻醉总优良率96%，不良反应率10%，与对照组80%、20%相比较，组间差异具有统计学意义（P＜0.05）。结论：腰硬联合麻醉应用在妇产科手术过程中能够显著提高患者麻醉效果，保障手术顺利进行，具有较高的临床应用价值，值得在今后临床工作中推广使用。 　　关键词：腰硬联合麻醉；硬膜外麻醉；麻醉效果；不良反应率；总优良率 　　Abstract: objective: to explore the waist hard joint anesthesia in the application of obstetrics and gynecology surgical effect, thought that will provide a scientific basis for its clinical application. Methods: selecting our hospital in May 2012 to July 2014 as the research object, 100 patients who underwent surgery of obstetrics and gynecology by patients in our hospital ethics committee approval and informed consent cases were divided into control group and research group, 50 cases and control group adopts epidural anesthesia, take waist hard joint anesthesia group, compared two groups of patients anesthesia effects, and the incidence of adverse reactions. Results: the patients with team by adopting waist hard joint anesthesia, anesthesia was 96%, adverse reaction rate was 10%, compared with the control group were 80%, 20%, differences between groups with statistical significance (P lt; 0.05). Conclusion: the waist hard joint anesthesia used in gynecology and obstetrics surgery can significantly improve the effect of patients with anesthesia, during the process of safeguarding the smooth progress of the operation has high clinical value, is worth popularization in clinical work in the future use. 　　Key words: waist hard joint anesthesia; Epidural anesthesia. Anesthesia effect; Adverse reaction rate; The total is 　　妇产科手术过程中，由于单纯硬膜外麻醉存在阻滞不完全、麻醉诱导时间较长等缺点，致使患者手术治疗没有取得理想效果，引发的医患纠纷较多，对医院及妇产科临床工作进一步发展造成了深远的社会影响[1]。我院通过对收治的行妇产科手术患者实施腰硬联合麻醉，取得了比较理想的麻醉效果，现将结果报道如下： 　　1 资料和方法 　　1.1一般资料 　　选取我院2012年5月至2014年7月收治的100例行妇产科手术患者为研究对象，年龄28岁至42岁，平均年龄（35.5plusmn;3.5）岁。病情等