河北医学2017，Vol.23Issue(1)：75-78,4.DOI:10.3969/j.issn.1006-6233.2017.01.025
腰硬联合麻醉与持续硬膜外麻醉在全子宫切除术中的应用效果
The Application Effect of Spinal Epidural Anesthesia Combined Continuous Epidural Anesthesia in Total Hysterectomy
摘要
Abstract
Objective:To analysis the application effect of spinal epidural anesthesia combined continu-ous epidural anesthesia in total hysterectomy, and to provide reference for clinical anesthesia. Methods:86 patients with total hysterectomy admitted in our hospital from December 2013 to February 2015 were selected. All the patients were randomly average divided into anesthesia group and epidural anesthesia group. Anesthesia group patients were taken anesthesia of combined spinal epidural anesthesia, epidural anesthesia group pa-tients were taken anesthesia of continuous epidural anesthesia, the mean arterial pressure and heart rate were recorded, anesthetic effect of patients were compared. Results:Joint anesthesia onset time of anesthesia was significantly shorter than the epidural anesthesia group, P <0.05, two groups of patients no significant differ-ence in operative time, the amount of anesthetic in anesthesia group was significantly lower than epidural anes-thesia group, P <0.05. Different time, anesthesia group MAP, HR and oxygen saturation smooth change, the change was significantly lower than the epidural anesthesia group, P <0. 05. The total fine rate observed on Narcotic was significantly higher than epidural anesthesia group, P <0.05, a muscle relaxant anesthesia group was significantly better than the epidural anesthesia group, P <0. 05, two groups of patients with adverse e-vents was no significant difference, P> 0.05. Conclusion:The method of spinal epidural anesthesia combined continuous epidural anesthesia in total hysterectomy is simple, safe and effective.关键词
全子宫切除术/腰硬联合麻醉/硬膜外麻醉/平均动脉压Key words
Total hysterectomy/Combined spinal epidural anesthesia/Epidural anesthesia/Mean arterial pressure引用本文复制引用
苏艺峰..腰硬联合麻醉与持续硬膜外麻醉在全子宫切除术中的应用效果[J].河北医学,2017,23(1):75-78,4.基金项目
陕西省科技攻关计划项目,(编号:2014K11-03-01-05) （编号:2014K11-03-01-05）
