微创腰麻硬膜外麻醉与骶麻在肛肠手术麻醉中应用效果比较.docVIP

微创腰麻硬膜外麻醉与骶麻在肛肠手术麻醉中应用效果比较 　　[摘要] 目的 比较微创腰麻、硬膜外麻醉与骶麻在肛肠手术麻醉中的应用效果。 方法 回顾性选择2012年9月～2015年8月在我院行肛肠手术的患者150例，微创腰麻患者50例，设为A组，骶麻50例，设为B组，硬膜外麻醉50例，设为C组，比较3组患者的手术时间、术后自己下床排尿时间、术后头痛发生率、麻醉穿刺成功率、麻醉起效时间、局麻药用量、麻醉效果、循环稳定性情况等。 结果 3组患者的手术时间、术后头痛发生率比较，差异无统计学意义（P0.05）；A组的麻醉穿刺成功率高于B组，麻醉穿刺时疼痛率、术后腰背痛发生率明显低于C组，局麻药用量明显少于B、C组，麻醉起效时间明显短于C组，麻醉效果、循环稳定性情况优于B、C组（P0.05）。结论 微创腰麻技术用于肛肠手术麻醉，穿刺损伤小，患者较舒适，局麻药用量少，起效迅速，循环稳定性好，效果确切。 　　[关键词] 微创腰麻；硬膜外麻醉；骶麻；肛肠手术 　　[中图分类号] R614 [文献标识码] A [文章编号] 1674-4721（2016）01（c）-0049-04 　　[Abstract] Objective To compare the application effect of minimally？spinal anesthesia，epidural anesthesia and caudal anesthesia in anorectal operation anesthesia. Methods 150 patients conducted anorectal operation by our hospital from September 2012 to August 2015 were retrospectively selected.50 cases given minimally spinal anesthesia were set as group A，50 cases given epidural anesthesia were set as group B，and 50 cases given Sacral anesthesia were set as group C.The operation time，the incidence rate of headache after operation，the successful rate of anesthesia puncture，onset time of anesthesia，usage dose of local anesthetics，anesthesia effect，cycle stability and so on among threes was compared respectively. Results There was no statistical difference of operation time，the incidence rate of headache after operation in patients among three groups （P0.05）.The successful rate of anesthesia puncture in group A was higher than that of group B，the pain rate of anesthesia puncture，the incidence rate of low back pain was obviously lower than that of group C，usage dose of local anesthetics was obviously fewer than that of group B and C，onset time of anesthesia was obviously shorter than that of group C，anesthesia effect，cycle stability was better than that of group B and C （P0.05）. Conclusion Minimally spinal anesthesia technology used in anorectal operation anesthesia has small puncture injury，patients more comfortable，fewer usage dose of local anesthetics，papid onset，good cycle stabilit