持续硬膜外麻醉联合静吸复合麻醉用于脊柱手术的效果观察

Observation on the effect of continuous epidural anesthesia combined with combined static and inhalation anesthesia in spinal surgery anesthesia

目的:探讨持续硬膜外麻醉联合静吸复合麻醉用于脊柱手术的效果。方法:收治脊柱疾病患者100例,随机平分两组。对照组采取静吸复合麻醉,观察组采取持续硬膜外麻醉联合静吸复合麻醉。结果:两组患者在插管时平均动脉压及心率比较,差异无统计学意义(P>0.05);而在切皮时、术中及拔管后平均动脉压及心率比较,观察组明显低于对照组;观察组患者自主呼吸恢复时间、意识恢复时间、拔管时间明显短于对照组,而且发生躁动2例,均明显少于对照组,差异均有统计学意义(P<0.05)。结论:持续硬膜外麻醉联合静吸复合麻醉用于脊柱手术麻醉效果好,患者躁动发生率低。

Objective:To evaluate the effect of continuous epidural anesthesia combined with static and inhalation anesthesia inspinal surgery.Methods:100patients with spinal diseases were selected.They were randomly divided into the two groups onaverage.The control group received combined static and inhalation anesthesia,and the observation group was treated withcontinuous epidural anesthesia combined with static and inhalation anesthesia.Results:The mean arterial pressure and heart rateof the two groups were not statistically significant at the time of intubation(P>0.05).The mean arterial pressure and heart rate inthe incision,intraoperative and extubation were significantly lower in the observation group than in the control group,the recoverytime,consciousness recovery time and extubation time of the observation group were significantly lower than those of the controlgroup.There were2cases of restlessness,which were significantly lower than those in the control group.The differences betweengroups were statistically significant(P<0.05).Conclusion:The effect of continuous epidural anesthesia combined with static andinhalation anesthesia in spinal surgery is good,and the incidence of restlessness is low.