骶神经阻滞复合全身麻醉对阴道前后壁修补术后镇痛效果的临床研究

Clinical research of postoperative analgesia effect by sacral nerves block combined with general anesthesia in anterior and posterior colporrhaphy

目的比较气管插管全身麻醉和骶神经阻滞复合全身麻醉用于阴道前后壁修补术患者的术后镇痛效果。方法 60例择期行阴道前后壁修补术患者,按入院时间随机分为对照组和研究组,各30例。对照组给予气管插管全身麻醉,研究组给予骶神经阻滞复合全身麻醉。观察两组患者术后1、3、6、12、24 h(T1、T2、T3、T4、T5)疼痛强度,记录患者回病房后24 h内睡眠时间。结果研究组术后镇痛效果好于对照组,差异有统计学意义(P<0.05)。研究组术后睡眠时间短于对照组,差异有统计学意义(P<0.05)。结论骶神经阻滞复合全身麻醉插管为阴道前后壁修补术提供了一种良好而且简便的术后镇痛方式,较单纯全身麻醉插管有明显优势。

Objective To compare the postoperative analgesia effect of intubation general anesthesia and sacral nerves block combined with general anesthesia in anterior and posterior colporrhaphy. Methods A total of 60 patients, who received anterior and posterior colporrhaphy, were randomly divided into control group and research group according to their admission time, and each group contained 30 cases. The control group received intubation general anesthesia, and the research group was given sacral nerves block combined with general anesthesia. The pain intensity in postoperative 1 h, 3 h, 6 h, and 12 h, 24 h （T1, T2, T3, T4, and T5） were observed, and the sleep times within 24 h after returning into ward were recorded. Results The postoperative analgesia effect of the research group was better than that of the control group, and the difference had statistical significance （P〈0.05）. The postoperative sleep time was shorter in the research group than the control group, and the difference had statistical significance （P〈0.05）. Conclusion The application of sacral nerves block combined with general anesthesia intubation can provide a good and simple postoperative analgesia method in anterior and posterior colporrhaphy, which has remarkable advantage than general anesthesia intubation.