椎管内麻醉并发下肢疼痛与功能障碍的原因及治疗

Causes and treatment on spinal anesthesia with low limb pain and dysfunction

目的：研究椎管内麻醉并发下肢疼痛与功能障碍的原因和治疗。方法采用回顾性分析的研究方法，选取2005年8月～2013年5月我院椎管内麻醉的患者1000例，分析椎管内麻醉并发下肢疼痛与功能障碍的发生率和发生原因，并且及时进行治疗。结果1000例椎管内麻醉的患者中，并发下肢疼痛与功能障碍的患者13例，发生率为1.3%，发生原因有很多，有麻醉因素、患者自身因素等，经过治疗，9例痊愈，3例有效，1例无效。结论椎管内麻醉很少并发下肢疼痛与功能障碍，但是偶尔会发生，需要及时分析原因并且进行治疗。

Objective To observe causes and treatment on spinal anesthesia with low limb pain and dysfunction. Methods Retrospective analysis was selected as the research methods,and a total of 1000 patients with spinal anesthesia that admitted to our hospital during August 2005 and May 2012 were selected. Causes and incidence on spinal anesthesia with low limb pain and dysfunction were analyzed and timely treatment was given to them. Results 13 patients with low limb pain and dysfunction in 1000 cases of spinal anesthesia were generated, and the incidence was 1.3%.There are many reasons for generating low limb pain and dysfunction, which contain anesthesia,the patient＇s own factors and so on. After treatment,9 cases were cured,3 cases were effectively improved and one case was invalid. Conclusion Spinal anesthesia complicated by lower limbs pain and dysfunction rarely occur,but it will occasionally occur,and timely analysis of the reasons and treatment is needed.