硬膜外联合腰麻在泌尿系手术中的作用

Effects of combined spinal-epidural anaesthesia in operations of urinary system

目的 观察腰硬联合麻醉用于泌尿外科手术中的疗效作用.方法 选取我院的泌尿系统手术患者52例,按数字表法随机分为2组,每组26例,观察组选用腰硬联合麻醉,对照组选用硬膜外麻醉,对比观察两组患者麻醉后血压、麻醉起效时间、达T8平面的时间、麻醉药用量、麻醉效果VAS评分.结果两组患者麻醉开始5-10 min血压对比有显著性差异（P﹤0.05）,两组麻醉起效时间、达T8平面时间、麻醉药用量等与比较差异有统计学意义（P﹤0.05）;观察组麻醉优良率高于对照组（χ2=4.27,P=0.04）.结论 腰硬联合麻醉具有起效快、用药量少、麻醉效果好的优点,可作为泌尿系手术优选的麻醉方式.

Objective To observe the therapeutic effects of combined spinal-epidural anaesthesia in operation of uri- nary system. Methods Fifty-two patients were chosen from hospital who were going to be operated because of urinary system diseases. They were randomly divided into two groups with 26 cases in each, each group had 26 patients. The patients who would be operated under combined spinal-epidural anaesthesia were set as group A. Others who would be operated under epidural block were set as B.The pespects of two groups were observed and compared, such as blood pressure after anaesthesia, the time the anaesthesia begin to effect, the time the drug arrive to the eighth thoracic vertebrae, the doses of the drug, the score of VAS. Results There were significant differences in blood pressure between two groups 5 to 10 minutes after anesthesia （P〈0.05）. And the time the anaesthesia began to effect, the time the drug arrived to the eighth thoracic vertebrae were also different （P〈0.05）. Compared with group B ,the rate of good results of group A were higher（x2=4.27 ,P=0.04）. Conclusion Combined spinal-epidural anaesthesia has many advantages： quicker effects, less doses, better anesthesia effects, so it can be used as the most priority anesthesia in urinary operations.