骶管麻醉下应用丙泊酚对防治TST术内脏牵拉反应的临床观察

Clinical observation of drag reaction on the prevention and treatment of TST in visceral surgery under sacral anesthesia of propofol

目的观察骶管麻醉辅用丙泊酚浅全麻防治开环式选择性痔上黏膜切除吻合术(TST)术中内脏牵拉反应的临床应用效果。方法将60例以非环状脱垂为主的Ⅲ、Ⅳ期痔病患者随机分为两组,A组30例,行骶管麻醉复合丙泊酚静脉麻醉;B组30例,行单纯骶管麻醉。手术方式是开环式痔上黏膜切除吻合术(TST)。比较两种麻醉效果,所有病例无严重心肺疾病,两组均排除骶管麻醉失败者。结果丙泊酚组术中无内脏牵拉反应。结论骶管麻醉下应用小剂量丙泊酚对防治TST术中引起的内脏牵拉反应效果显著,减轻了患者痛苦,提高了患者满意度。

【Objective】To observe the sacral anesthesia assisted ring type selective hemorrhoidal mucosa resection and anastomosis of superficial anesthesia with propofol（TST） control open clinical application effect of pulling the visceral traction reaction.【Methods】In operation：60 cases with non circumferential prolapse based Ⅲ, Ⅳ phase hemorrhoids were randomly divided into two groups, 30 cases in A group, for sacral anesthesia combined with propofol intravenous anesthesia; B group of 30 patients, underwent sacral anesthesia. Operation mode is open-loop superior hemorrhodial musoca resection and anastomosis（TST）. A comparison of two anesthetic effect. All cases had no severe heart and lung diseases, two groups were excluded from the sacral anesthesia failure. 【Results】novisceral traction reaction of propofol in group.【Conclusion】Sacral anesthesia small doses of propofol on the prevention and control of TSTcaused by the application of intraoperative visceral traction reactionsignificant effect, reduce the pain of patients, improve patient satisfaction.