后路椎间盘镜手术体位对BP、HR的影响

Influence of posterior disc surgery position on BP, HR

目的观察俯卧位下后路椎间盘镜手术和侧卧位下椎板开创髓核摘除术两种不同手术体位对患者BP、HR的影响。方法选择择期手术患者204例，根据手术指征分为A、B两组，A组108例行后路椎间盘镜手术，B组96例行椎板开窗髓核摘除术，对临床资料进行观察比较。结果A组手术时间缩短，BP、HR波动明显，需用麻黄素或阿托品进行对症处理。结论后路椎间盘镜手术虽然创伤小、时间短，但手术体位对BP、HR影响明显，术中需严密观察，积极预防。

Objective To observe the Influence of posterior disc surgery position on BP, HR. Methods 204 patients were divided into A （routine posterior disc surgery）and B （routine fenestration laminectomy diseectomy） two groups ac- cording to surgical indications,with 108 eases in A group and 96 eases in B group. Results surgical time was shorter,but BP, HR fluctuations was more obvious in A group. The patients needed ephedrine or atropine for symptomatic treatment. Conclusion Although the posterior disc surgery was of smaller trauma and shorter time, the Influenee of operative position on the BP, HR was more obviouse.