钉棒内固定手术的麻醉方案临床数据分析

Clinical Data Analysis of Anesthesia Scheme for Nail Stick Internal Fixation Operation

目的:钉棒内固定手术采用硬膜外麻醉和气管插管全麻两种麻醉方案临床数据分析。方法:A组(硬膜外麻醉)选择好间隙一般(胸10到腰2之间)行硬膜外穿刺,确已证明在硬膜外腔,则分次注入麻醉药,一般药物都是0.4%~0.5%罗派卡恩;B组(气管插管全麻)直接进行常规静脉诱导行气管插管全麻,导管插入气管内的深度成人为4~5cm,导管尖端至门齿的距离约18~22cm,进行气管插管全麻的注射。结果:B组在术中出血情况明显比A组术中出血情况要低,B组在术中病人舒适度明显比A组术中舒适感要好,B组手术后病人满意率明显比A组手术后病人满意率高。结论:硬膜外麻醉对钉棒内固定手术和气管插管全麻对钉棒内固定手术有很明显的对比,所以气管插管全麻麻醉对钉棒内固定手术比硬膜外麻醉对钉棒内固定手术好。

Objective:To analyze the clinical data of two anesthesia methods of epidural anesthesia and endotracheal intubation general anesthesia in nail stick internal fixation operation.Methods:Group A(epidural anesthesia):Select a good space between chest 10 and lumbar 2 to perform epidural puncture,it had been proved that in the epidural cavity,then the anesthetic was injected in separate doses.The general drugs were0.4~0.5% of the Robics-Kahn.Group B(endotracheal intubation general anesthesia):All patients were given general anesthesia of tracheal intubation by routine venous induction.The depth of intratracheal catheterization was 4~5 cm in adults,and the distance from the tip of the catheter to the incisor was about 18~22 cm.The endotracheal intubation was injected with general anesthesia.Results:The hemorrhage during operation in the group B(tracheal intubation general anesthesia)was significantly lower than that in the group A(epidural anesthesia),In group B(tracheal intubation general anesthesia),the patients comfort level during operation was significantly better than that in group A(epidural anesthesia),and the satisfaction rate of patients in group B(general anesthesia of tracheal intubation)was significantly higher than that in group A(epidural anesthesia).Conclusion:The effect of epidural anesthesia on stick internal fixation operation is significantly different from that of general anesthesia of endotracheal intubation,so the endotracheal intubation anesthesia for internal fixation surgery is better than epidural anesthesia for internal fixation operation.