2008～2012年广西各级医院椎管内麻醉神经系统并发症初步调查分析

A preliminary analysis of neurological complications after intrathecal anesthesia at all levels hospitals in Guangxi

目的调查2008～2012年广西各级医院椎管内麻醉使用情况,并对神经系统并发症进行初步分析。方法收集64家广西各级医院椎管内麻醉神经系统并发症调查表,根据人口统计学和临床特征计算麻醉相关并发症的发生率及治愈率,并进行统计学分析。结果 64家医院中,报告神经并发症的医院有37家,其中三甲医院17家。椎管内麻醉患者共502717例,神经并发症205例(0.04%),其中硬膜外麻醉并发症明显少于腰-硬联合麻醉和腰麻(P<0.01)。在所有并发症中,短暂神经综合征(TNS)发生率最高,其次是脊神经损伤。TNS患者均完全康复,而脊神经损伤康复率只有48%。结论椎管内麻醉中硬膜外麻醉神经系统并发症发生率最低。大多数神经系统并发症是可以完全治愈的。

Objective To learn the use of intrathecal anesthesia at all levels hospitals in Guangxi from 2008 to 2012 and to carry out a preliminary analysis of neurological complications after intrathecal anesthesia. Methods CMlect neurological complications questionnaire at all levels in Guangxi hospitals based on the demographic and clinical features of anesthesia-related complications, and to calculate the incidence and cure rate of neurological complications. Results The incidence of neurological complications after intrathecal anesthesia was 0. 04% （205/502 717）, the incidence of TNS was the most common, followed by spinal nerve injury. The incidence of neurological complication after epidural anesthesia was less than combined spinal-epidural anesthesia and spinal anesthesia （P〈0.01）. Conclusion The incidence of intrathecal anesthesia-rdated complications is very low, the neurological complications of epidural anesthesia is the least. Most of the neurological complications could be completely cured, but the severe injury is permanently catastrophic.