酒精测试确定硬膜外麻醉平面的临床效果观察

The clinical effects observation on alcohol testing determine blocking levels of epidural anesthesia

目的探讨酒精测试法与针刺法确定硬膜外麻醉平面的临床效果。方法分别用酒精棉签(方法Ⅰ)和一次性针头(方法Ⅱ)测定60例硬膜外麻醉患者的麻醉平面,同时观察测定部位皮肤表面的变化。结果两种方法确定硬膜外麻醉平面比较差异无统计学意义(P>0.05);方法Ⅰ麻醉平面出现的时间比方法Ⅱ早,差异有统计学意义(P<0.05);方法Ⅱ患者皮肤有不同程度的红斑或出血点,方法Ⅰ患者皮肤表面未见异常。结论酒精测试法测定硬膜外麻醉平面比较针刺法优越,具有快速、准确、安全、无创、无痛等优点。

Objective To investigate the clinical effects of alcohol testing methods and acupuncture methods on determine blocking levels of epidural anesthesia. Methods 60 patients were included as the object, take the alcohol cotton swab（ method I ） and disposable aspiration needle （method Ⅱ） respectively to test the blocking levels of epidural anesthesia, meanwhile, observe the skin superficial change of the definited location, Results There were no statistical differences for the blocking levels of epidural anesthesia between the two methods（ P 〉 0.05 ） ,but there was a significant difference （ P 〈 0.05 ） for the blocing levels of method I being more quick than method Ⅱ . Method Ⅱ induced erythema and bleeding point while method I did not. Conclusion Alcohol testing methods have significantly superiority in determine blocking levels of epidural anesthesia to compared with acupuncture methods, and alcohol testing methods possess the merit of quick, precise, safety,acceptability and so on.