探讨腰麻-硬膜外联合阻滞麻醉与单纯硬膜外麻醉的临床麻醉效果

Investigation of the Clinical Effect of Spinal Anesthesia Combined with Epidural Anesthesia and Simple Epidural Anesthesia

目的评价腰麻-硬膜外联合阻滞麻醉与单纯硬膜外麻醉的临床麻醉效果。方法方便2015年2月—2017年2月该院择期手术对象94例,采用随机编号分组。A组47例,单纯硬膜外麻醉,B组47例,腰硬联合麻醉。对比麻醉阻滞失败率,术中血压与心率极值差,并发症发生情况。结果两组均未见阻滞失败。B组HR、SBP、DBP极值差与呼吸循环紊乱发生率分别为(7.51±1.64)次/min、(17.43±5.44)mm Hg、(13.46±5.46)mm Hg、27.66%低于A组(11.46±5.46)次/min、(23.36±6.37)mm Hg、(18.25±5.43)mm Hg、57.45%,差异有统计学意义(t=5.66、3.76、4.30,χ2=8.54,P=0.000、0.000、0.000、0.003<0.05)。结论腰麻-硬膜外联合阻滞麻醉相较于单纯硬膜外麻醉,有助于呼吸循环稳定。

Objective This paper tries to evaluate the clinical anesthesia effect of combined spinal epidural anesthesia and epidural anesthesia.Methods February 2015 to February 2017,94 cases in the hospital were convenient selected,using random number grouping.Group A of 47 cases,simple epidural anesthesia,group B of 47 cases,combined spinal and epidural anesthesia.Comparing the failure rate of anesthesia block,the intraoperative blood pressure and heart rate extreme difference,the incidence of complications.Results The two groups had no block failure.HR,SBP,DBP and the incidences of respiratory and circulatory disorders of group B were(7.51±1.64)times/min,(17.43±5.44)mmHg,(13.46±5.46)mmHg,27.66%lower than that of group A of(11.46±5.46)times/min,(23.36±6.37)mmHg,(18.25±5.43)mmHg,57.45%,the difference was statistically significant(t=5.66,3.76,4.30,χ2=8.54,P=0.000,0.000,0.000,0.003<0.05).Conclusion The combined spinal epidural anesthesia compared with epidural anesthesia,contribute to stable respiration and circulation.