硬膜外麻醉和腰硬联合麻醉用于子宫全切术的体会

Peridural Anesthesia and CSEA Applying in Total Hysterectomy

目的 该文探讨硬膜外麻醉和腰硬联合麻醉在子宫全切术中的应用体会。方法 随机选取100例美国麻醉医师协会（American society of Anesthesiologists，ASA）1—2级子宫肌瘤病人，均分为2组。Ⅰ组行硬膜外麻醉（EA），Ⅱ组行腰硬联合麻醉（CSEA）。术中监探BP、HR及术中牵拉内脏时病人的反应。结果 两组病人麻醉后血压均下降，Ⅱ组下降明显，Ⅰ组病人的牵拉反应率高，Ⅱ组病人骶神经阻滞尧善，未出现内脏牵拉反应。结论 CSEA用于子宫全切术较EA有一定优势，值得进一步推广应用。

Objective To discuss the experience of total hysterectomy in epidural anesthesia and CSEA. Methods 100 cases of hysteromyoma were selected randomly and divided into two groups. The patients in Group One were operated with EA and the patients in Group Two with CSEA. BP, HR and the patients＇ traction response in the operation were monitored. Results After anesthesia, the blood pressure of the patients in the two groups went down, but in Group Two the patients＇ response of traction was obvious. The patients＇ sacral nerve block in Group Two was perfect. There was on internal organ traction response. Conclusion When CSEA is applied in total hysterectomy , the advantage is more obvious compared with EA. So it is value to apply it widely.