腰硬联合麻醉在阑尾切除患者中的应用及效果观察

Application and Effect Observation of Combined Spinal Epidural Anesthesia in Appendectomy

目的分析腰硬联合麻醉在阑尾切除患者中的应用价值。方法择取2016年5月—2017年5月我院收治的50例行阑尾切除术患者为研究对象,将其分为2组,每组25例。对照组病患接受硬膜外麻醉。观察组接受腰硬联合麻醉,分析具体结果。结果相较于对照组,观察组麻醉优良率较高,P<0.05,对照组病患牵拉阑尾时心率降低,相较于手术前和观察组,P<0.05;观察组患者麻醉起效时间更短,麻醉平面更高,P<0.05;两组受试者的不良反应发生率对比,差异无统计学意义,P>0.05。结论对于接受阑尾切除术者,以腰硬联合麻醉法处理,阻滞平面更高,临床效果好,安全性强,镇痛以及肌松效果更为显著。

Objective To evaluate the value of combined spinal epidural anesthesia in appendectomy. Methods From May 2016 to May 2017, 50 cases with appendectomy in our hospital as the research object, they were divided into 2 groups, 25 in each group. Control group received epidural anesthesia, observation group received combined spinal epidural anesthesia, and analyzed the specific results. Results Compared with the control group, the excellent rate of anesthesia in the observation group was higher, P 〈 0.05, the heart rate of the patients in the control group was lower when pulling the appendix, compared with the preoperative and the observation group, P 〈 0.05; The onset time of anesthesia in the observation group was shorter and the anesthesia level was higher, P 〈 0.05; There was no significant difference in the incidence of adverse reactions between the two groups, P 〉 0.05. Conclusion For patients undergoing appendectomy, combined spinal epidural anesthesia is more effective, safe, analgesic and more effective in muscle relaxation.