舒芬太尼鞘内注射在经皮椎间孔镜手术中的应用

Intrathecal Injection of Sufentanil in Application of Percutaneous Transforaminal Endoscopic Surgery

目的:探讨舒芬太尼鞘内注射用于经皮椎间孔镜手术术中镇痛的可行性。方法择期行“经皮椎间孔镜下行椎间盘髓核摘除术”患者60例,随机、双盲分成2组。实验组(A组,n=30),予鞘内注射舒芬太尼7.5μg;对照组(B组,n=30),予1%利多卡因局部浸润麻醉。记录两组患者术中各时点的VAS评分、MAP、HR、麻醉相关不良反应、患者和术者对麻醉的满意等。结果与B组比较,A组镇痛效果更好,术中血流动力学更为稳定,患者及术者对A组麻醉的满意度显著高于B组。结论舒芬太尼鞘内注射用于经皮椎间孔镜手术术中镇痛,效果良好,不良反应较少且可控。

Objective To investigate the feasibility of pain relief during operation through the use of sufentanil intrathecal injection in percutaneous transforaminal endoscopic discectomy.Methods 60 patients,being treated with percutaneous transforaminal endoscopic discectomy,were randomly divided into 2 groups.Experimental group A(n=30)were given an intrathecal injection with sufentanil 7.5ug;control group B(n=30)received a 1%lidocaine local infiltration anesthesia.We observed the VAS score,MAP,HR and anesthetic adverse reaction of the patients in the two groups during operation,as well as patients and surgeons'degree of satisfaction toward anesthesia.Results Compared with group B,the analgesia was significantly better and the emodynamics more stable in group A;patients and surgeons were considerably more satisfied with the anesthesia for group A.Conclusion The analgesic efficacy during operation of sufentanil intrathecal injection in percutaneous transforaminal endoscopic discectomy is comparatively good,adverse reaction smaller and controllable.