鼻内镜鼻窦手术麻醉方法比较

The effect evaluation of endoscopic sinus surgery under different aneatheia

目的：研究全身麻醉与局部麻醉下进行鼻内镜鼻窦手术的效果。方法：将2006年1月～2007年6月收治的84例病变范围不超过中甲基板的慢性鼻窦炎1型、2型患者,随机分为全身麻醉组和局部麻醉组,在不同麻醉方式下进行鼻内镜鼻窦手术。比较2组手术治疗效果、麻醉效果、术中出血量及卫生经济学评价。结果：2组的治疗效果、麻醉效果及术中出血量差异均无统计学意义（P〉0.05）;局部麻醉组平均住院费用明显低于全身麻醉组（P〈0.05）。结论：病变未超过中甲基板的慢性鼻窦炎1型、2型患者采用局部麻醉方式下进行鼻内镜鼻窦手术更为安全、方便、经济。

Objective： To compare the effect of endoscopic sinus surgery （ESS） for chronic nasosinusitis, under trachea intubation with venous anaesthesia and local anaesthesia with enhance anaesthesia performed. Methods： Eighty four patients with chronic nasosinusitis （type 1 and type 2, the scope of the disease have not surmounted the base of middle turbinate） enrolled in our hospital from January 2006 to June 2007 were divided into 2 groups by random. Forty patients with chronic nasosiriusitis of the group 1 were carried out ESS under trachea intubation with venous anaesthesia. The another 44 patfents with chronic nasosinusitis of the group 2 were completed the ESS under local anaesthesia with enhance anaesthesia. The treatment result of two kinds of method,s, two kinds of treatments on anesthesia＇s result, bleeding quantity, in operation and economics differences were compared and analysed at the same time. Results： The clinical effects,anesthesia＇s result and bleeding quantity in operation of two kinds of methods had not difference on statistics （P 〉0. 05）. Local anesthesia group was significantly lower than the average hospit＇alization cost of venous anestlaegia group. Conclusions： The conclusion oI the study proved that under local anesthesia with enhance anaesthesia had more Superior than trachea intubation with venous aneatheia in safe,convenience and economic.