比较局部麻醉和脊椎麻醉在膝关节镜手术中的效果

The Effect of Local Anesthesia and Spinal Anesthesia in Knee Arthroscopy

目的探究局部麻醉与脊椎麻醉在膝关节镜手术中的应用效果。方法选择我院2014年6月~2015年11月采用膝关节镜诊疗的患者180例,根据麻醉方式不同分为两组,各90例。实验组实施局部麻醉,对照组实施脊椎麻醉方式。对比两组临床治疗的各项指标,分析两组麻醉方式的应用效果。结果两组术后VAS评分相比较,实验组优于对照组,差异有统计学意义（P〈0.05）;两组排尿时间相对比,实验组短于对照组,差异有统计学意义（P〈0.05）;两组术后并发症发生率相比较,差异有统计学意义（P〈0.05）。结论行膝关节镜手术采取局部麻醉相比脊椎麻醉方式简单,具有较高的可靠性与安全性。

Objective To explore the application effect of local anesthesia and spinal anesthesia in the knee arthroscope operation. Methods 180 cases of patients used the knee arthroscope operation were selected at our hospital during from June 2014 to November 2015, to divided into two groups as the different anesthesia, 90 cases in each group. The treatment group was implemented by local anesthesia, and the control was implemented by spinal anesthesia. To compared the indicators of the clinic treatment of them, and analysed application effect of the anesthesia method of them. Results To compared the grade of VAS after treatment of the groups, the treatment group was less than the control, there was statistical significance（P〈0.05）. To compared the urination time of them, the treatment group was less than the control, there was statistical significance（P〈0.05）. To compared the incidence of complications after treatment of them, there was statistical significance（P〈0.05）. Conclusion The anesthesia is easy of local anesthesia in the knee arthroscope operation that compared with spinal anesthesia, has the higher reliability and safety.