侧入法与直入法对椎管内麻醉患者术后腰背痛的影响

Effect of Side Entry Method and Straight Entry Method for Spinal Anesthesia on Patients' Postoperative Low Back Pain

目的探析椎管内麻醉侧入法和直入法对患者术后腰背疼痛的影响。方法整群选取该院2014年1月—2015年1月收治的83例腰硬联合麻醉下行下腹或下肢手术的患者,根据穿刺方法将其分为研究组(41例)和对照组(42例),研究组采取侧入法,对照组采取直入法,比较两组患者术后腰背疼痛的情况。结果研究组一次穿刺成功率90.24%明显高于对照组76.19%(P<0.05);两组穿刺触及神经反应例数各3例比较差异无统计学意义(P>0.05);研究组发生腰背疼痛4例明显少于对照组的11例(9.76%vs 26.19%,P<0.05)。结论椎管内麻醉采取侧入法能够明显减少患者术后腰背疼痛的发生率。

Objective To study the effect of Side entry method and straight entry method for spinal anesthesia on patients＇ postoperative low back pain. Methods 83 cases of patients with combined spinal epidural anesthesia in lower abdomen or lower limb surgery treated in our hospital from January 2014 to January 2015 were selected and divided into study group （41 cases） and control group （42 cases） according to the puncture method. The study group were given side entry method and the control group were given straight entry method, postoperative low back pain of the two groups was compared. Results The success rate of the study group （90.24%） was significantly higher than that of the control group（76.19%） （P〈0.05）; there were 3 cases of nerve reaction in puncture in each group and the comparison had no significant difference （P〉0.05）;there were 4 cases with low back pain in the study group, which was significantly less than the control group of 11 cases （9.76%vs 26.19%,P〈0.05）. Conclusion Side entry method for spinal anesthesia can significantly reduce the incidence of low back pain of patients after surgery.