摘要
Abstract
Objective To analyze the clinical effect of subarachnoid anesthesia and epidural anesthesia for prolapse and hemorrhoids(PPH)of mixed hemorrhoids.Methods A total of 100 patients with mixed hemor-rhoids treated with PPH in Xi'an Hospital of Traditional Chinese Medicine in Shaanxi Province from January 2019 to January 2022 were selected as the research objects,they were divided into observation group and con-trol group by random number table method,with 50 cases in each group.The control group was treated with epidural anesthesia,and the observation group was treated with subarachnoid anesthesia.The perioperative in-dicators,sensory block,anesthesia effect and incidence of adverse reactions,mean arterial pressure(MAP),heart rate(HR)and blood oxygen saturation(SpO2)before and after anesthesia were compared between the two groups.Results There was no significant difference in operation time,intraoperative blood loss and hos-pitalization time between the two groups(P>0.05).The onset time of anesthesia,recovery time of sensory block and the highest sensory block time in the observation group were shorter than those in the control group and the anesthesia effect of the observation group was better than that of the control group,and the differences were statistically significant(P<0.05).There was no significant difference in MAP,HR and SpO2 between the two groups before and after anesthesia(P>0.05).There was no statistically significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion Compared with epidural anesthesia,subarachnoid anesthesia for PPH has shorter onset time of anesthesia,recovery time of sensory block,maximum sensory block time and less influence on hemodynamics,and it has better clinical effect.关键词
神经传导阻滞/混合痔/吻合器痔上黏膜环形切除术/血流动力学/硬膜外麻醉/蛛网膜下腔麻醉Key words
nerve block/mixed hemorrhoids/prolapse and hemorrhoids of hemorrhoids/hemody-namics/epidural anesthesia/subarachnoid anesthesia分类
医药卫生
