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腰-硬联合麻醉技术在阑尾炎手术中的应用 被引量:6

Application of combined spinal - epidural anesthesia in surgical treatment for appendicitis
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摘要 目的评价腰-硬联合麻醉(CSEA)用于阑尾炎手术中的麻醉效果和推广价值。方法利用SPSS统计软件包对80例病例按中心分层方法产生随机数,根据用药情况分为两组,腰-硬联合麻醉(CSEA)组和硬膜外麻醉(EA)组,比较两组麻醉方法的麻醉效果和麻醉诱导时间、硬膜外用药量、麻黄碱的用量。结果与硬膜外麻醉(EA)相比,腰-硬联合麻醉(CSEA)起效时间快,麻醉效果好(X2=10.85,P〈0.01),可控性高,并发症减少(P〈0.01),可以快速满足阑尾切除术所需的麻醉要求。结论腰一硬联合麻醉操作简单方便,应用于阑尾切除术,不失为一种理想的可信赖的麻醉方法,值得推广应用。 Objective To evaluate the anesthetic effect and clincal value of combined spinal - epidural anesthesia (CSEA) for surgical treatment for appendicitis. Methods 80 ASA Ⅰ-Ⅱ patients with appendicitis were randomly divided into 2 groups by the SPSS based on stratified method, respectively being spinal - epidural anesthesia (CSEA) group and epidural anesthesia (EA). The anesthetic effect, duration of anesthetic induction, dosage of epidural medicine uses, and dosage of ephedrine were compared. Results As compared with EA, CSEA had a faster onset, better anesthetic effect (X 2=10-85, P〈0.01), higher controllability, and fewer complications (P〈0.01), and quickly met the anesthetic requirements of appendectomy. Conclusions Use of combined spinal-epidural anesthesia in appendectomy is easier to operate, a reliable method of anesthesia, and worth popularizing.
作者 胡兵
出处 《国际医药卫生导报》 2013年第9期1314-1316,共3页 International Medicine and Health Guidance News
关键词 腰-硬联合麻醉 硬膜外麻醉 阑尾切除术 Combined spinal - epidural anesthesia Epidural anesthesia Appendectomy
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