两种麻醉方式在腰椎间盘突出症手术中的效果观察

Observation of Two Anesthesias in Lumbar Disc Herniation Surgery

目的:探讨腰-硬联合麻醉与硬膜外麻醉在腰椎间盘突出症手术中的效果。方法:将64例腰椎间盘突出症手术患者分组并采用不同的麻醉方式,观察两组麻醉效果。结果:腰-硬联合组麻醉起效时间为(7.3±1.5)min,明显快于硬膜外组(12.0±1.4)min,镇痛效果和肌松效果为优者分别为78.1%、71.9%,腰-硬联合组患者平均麻药用量仅为硬膜外组的一半。两组间比较差异均有统计学意义(P<0.05)。结论:腰-硬联合阻滞麻醉用于椎间盘摘除术起效快、肌松效果好、阻滞完全、麻药用量少,适合临床进一步研究和使用。

Objective：To investigate the effect of spinal-epidural anesthesia and epidural anesthesia in lumbar disc surgery.Methods：64 patients with lumbar disc herniation randomly divided into groups and the narcotic effect of two groups were observed.Results：Spinal-epidural group anesthesia onset time was（7.3±1.5）min,which was significantly faster than the epidural group（12.0±1.4）min,the analgesic effect and muscle relaxant effect was excellent in 78.1% and 71.9% respectively,the average amount of anesthetics for spinal-epidural patients was only half of the epidural group.The differences between the two groups were statistically significant（P〈0.05）.Conclusion：Using spinal-epidural anesthesia in lumbar disc surgery had the advantages of rapid onset time,better muscle relaxants,completely block and less local anesthetic,which was suitable for further clinical research and use.