两种麻醉方法用于子宫切除手术的比较

Two kinds of anesthesia used for hysterectomy

目的探讨两种麻醉方法在子宫切除术中的临床疗效。方法选取2010年1月至2011年2月我院收治的行子宫切除术患者86例,根据麻醉方法不同分为A、B两组,A组38例行连续硬膜外麻醉,B组48例行腰硬联合麻醉,观察两组患者麻醉前、麻醉后的血压(HP)、心率(HR)、呼吸频率、起效时间、手术时间及不良反应等指标。结果 B组的麻醉后舒张压(DBP)、收缩压(SBP)均显著低于A组(P<0.05);B组的麻醉起效时间、手术时间均显著低于A组,(P<0.05);B组不良反应发生率与A组差异无统计学意义。结论腰硬联合麻醉是子宫切除术患者较为有效、安全的麻醉方式,具有临床推广应用的价值。

Objective To evaluate in clinical efficacy two anesthetic techniques in hysterectomy.Methods From January 2010 to February 2011,86 patients of hysterectormy according to anesthesia were divided into A,B groups in our hospital A group of 38 patients were give continuous epidural anesthesia,B group 48 patients were givn ractine epidural anesthesia,were observed before anesthesia,after anesthesia blood pressure（HP）,heart rate（HR）,respiratory rate,onset time,surgical time,and adverse reactions.Results B group after anesthesia diastolic blood pressure（DBP）,systolic blood pressure（SBP）were significantly lower than the A group（P0.05）.The onset time of anesthesia,operative time was significantly lower than the A group,（P0.05）;B group A the incidence of adverse reactions was no significant difference between two grops.Conclusion Lumbar epidural anesthesia is more effective in patients with hysterectomy,safe anesthesia,with the clinical application value.