超声技术在临床麻醉中应用的可行性探讨.docVIP

精品论文 参考文献 超声技术在临床麻醉中应用的可行性探讨 南华大学附属第二医院 湖南衡阳 421001 【摘 要】目的 研究超声技术在临床麻醉中应用价值及可行性。方法 随机选取2014年9月—2015年9月我院麻醉科需要临床麻醉的160例患者，根据在围手术期麻醉时是否应用超声技术分为观察组和对照组，对照组患者在麻醉时，采取常规的辅助方法及血常规检查；而观察组患者采取超声检查在术前、术中以及术后对麻醉患者进行综合评估、诊断麻醉中患者病情、监测麻醉中患者的生命体征及提高穿刺的准确性；观察比较两组患者吸收性肺炎、苏醒延迟、术后恶心呕吐、支气管痉挛的发生情况及对麻醉效果的满意度。结果 观察组患者麻醉后发生吸收性肺炎0、苏醒延迟3.75%、术后恶心呕吐22.50%、支气管痉挛7.5%、并发症总发生率34.00%；对照组患者麻醉后发生吸收性肺炎7.50%、苏醒延迟30.00%、术后恶???呕吐70.00%、支气管痉挛23.75%、并发症总发生率75.00%。观察组患者对麻醉效果的总满意度为83.75%，对照组为55.00%；两组数据比较具有统计学意义（P＜0.05）。结论 超声手术可增加临床麻醉的安全性，提高患者的手术治疗效果，在临床麻醉中应用具有可行性，值得广泛使用。 【关键词】超声技术；临床麻醉；可行性 Abstract Objective To study the value and feasibility of ultrasonic technique in clinical anesthesia. Methods from June 2013 to June 2014 160 patients in our hospital department of Anesthesiology clinical anesthesia were randomly selected，according to whether the application of ultrasound technique divided into observation group and control group in perioperative anesthesia，the control group of patients in anesthesia，take auxiliary conventional methods and blood routine；while patients in the observation group were treated by ultrasonography before operation. Intraoperative and postoperative anesthesia for patients with a comprehensive assessment of the diagnosis in patients with anesthesia，anesthesia monitoring in patients with vital signs and improve the accuracy of puncture；the two groups were observed and compared the absorption of pneumonia，delayed recovery，postoperative nausea and vomiting，bronchospasm incidence and satisfaction of anesthesia. Results the observation group patients after anesthesia occurred in 0，delayed recovery absorptive pneumonia 3.75%，postoperative nausea and vomiting in 22.50%，bronchial spasm 7.5%，total complication rate was 34%；control group after anesthesia occurred in 7.50%，30% delayed absorptive pneumonia recovery，postoperative nausea and vomiting in 70%，bronchial spasm in 23.75%，the overall complication rate of 75%. The total satisfaction of observation group w