两种方法预防闭孔神经反射效果的比较

Comparison of Two Managements in the Prevention of Obturator Nerve Reflex During Transurethral Resection of Bladder Tumors

目的:比较硬膜外麻醉联合闭孔神经阻滞麻醉和硬膜外麻醉联合肌松药物预防闭孔神经反射的效果,探讨预防闭孔神经反射的最佳方法。方法:回顾性分析我院临床确诊的90例浅表性膀胱肿瘤患者,分别采用硬膜外麻醉联合闭孔神经阻滞麻醉(ONB组),硬膜外麻醉联合肌松药物(SCL组)预防闭孔神经反射,比较两者一般资料和成功率,并进行统计学分析。结果:ONB组和SCL组闭孔神经阻滞成功率分别为68.8%和100%,SCL组成功率明显高于ONB组(P<0.05)。结论:硬膜外麻醉联合应用肌松剂司可林是一种预防闭孔神经反射简便安全有效的方法。

Objective：To compare the anesthetic effects of obturator nerve blockade （ONB） and succinylcholine （SCL） during transurethral resection of bladder tumors underwent spinal anesthesia,and to explore the best modality for prevention of obturator nerve reflex. Methods：The data of 90 patients with superficial bladder tumors were retrospectively reviewed. Of all the cases,48 cases were managed with ONB and 42 cases with SCL. Between the two managements,the anesthetic successful rates were compared and analyzed during the procedures. Results：The anesthetic successful rates of the ONB and SCL group were 68.8% and 100% respectively. The anesthetic successful rate of SCL group was significantly higher than that of ONB group （P〈0.05）. Conclusion：Due to its mechanism of action,succinylcholine is more effective and provides a simple and safe alternation to ONB.