肛肠手术行腰奇穴麻醉的临床试验研究及护理

Clinical Research and Nursing by Lumbar Qi Point Anesthesia During Anorectal Operation

目的:探讨一种用于肛肠手术的穴位麻醉方法的实施及护理。方法:采取随机单盲分组系统观察腰奇穴麻醉试验组100例,腰俞穴麻醉(对照1组)与局部麻醉(对照2组)各100例,应用于肛肠科手术麻醉。结果:试验组与对照1组比较在同等用药剂量下其麻醉效果前者优于后者,与对照2组比较则局部麻醉痛苦大(多次穿刺),且不宜用于高位脓肿和肛瘘根治术的麻醉。结论:腰奇穴麻醉具有选穴定位准确,麻醉时间长,毒副作用小,是用于肛肠科手术较理想的麻醉方法,加之适时的护理干预手术前后,效果明显。

Objective： To find a point anesthesia＇ s implement and nursing in the anomctal operation. Methods： Choose ran- dom single blind groups system, including the lumbar Qi point anesthesia experimental group, the lumbar Yu point anesthesia group （the contrast group I）, the local＇ anesthesia group （the contrast groups II） to observe the Qi point anesthesia in the anorectal opera- tion. Each group has 100 cases. Results： The experimental group＇ s anaesthetic effect was better than the contrast group I＇ s, when use the same dosage. And the patients ~the contrast group II got more pain （more punctures） . The local anesthesia was not adequate for the high abscess and the radical 0Peration of anal fistula. Condusion： The lumbar Qi point anesthesia has these advantages： 1. The point can be found exactly. 2. The anaesthetic time is long. 3. The toxic action and side effects are less. It is a satisfied anesthesia. If do the nursing at the right_moment, before and after the operation, the effect is very good.