改良单次硬膜外麻醉在RPH-4套扎术中的应用

Modified Single-time Epidual Anesthesia Applied in Procedure with RPH-4

为比较骶管麻醉和改良单次硬膜外麻醉与低位连续硬膜外麻醉方法在自动弹力线痔疮套扎器（RPH-4）套扎术中的麻醉效果，将行RPH-4套扎术患者120例随机分为3组，Ⅰ组为单次硬膜外组，Ⅱ组为连续硬膜外组，Ⅲ组为骶管麻醉组，每组各40例。对3组麻醉效果进行比较。结果显示，在RPH-4套扎术中，改良单次硬膜外麻醉组麻醉效果好，起效时间快，镇痛完善，肌松好，有效率高，对呼吸、循环影响轻微，各项生命体征平稳。优于骶管麻醉和连续硬膜外麻醉，不失为一种理想的麻醉选择方法。

This study was to compare the dural anesthesia and low continuous patients subject to the procedure w epl ith group） ,group Ⅱ （low continus epidural d anesthesia efficacy of caudal anesthesia, modified single-time epiural anesthesia in procedure with RPH-4, randomly divided 120 RPH-4 into group Ⅰ （modified single-time epidural anesthesia anesthesia group） and group Ⅲ （caudal anesthesia group） ,40 cases for each;then compared anesthesia efficacy of three groups.As results, in anesthesia efficacy group Ⅰ was the best, owing to its fast onset of efficacy, complete analgesia, better muscle relaxation, high effective rate,and slightly influencing respiration and circulation,vital signs being stable;in a word it＇s an ideal anesthesia method.