腰硬联合麻醉与持续硬膜外麻醉在子宫肌瘤手术中的应用效果比较

Comparison of the actual effect of combined spinal-epidural anesthesia and continuous epidural anesthesia in hysteromyoma surgery

目的探讨腰硬联合麻醉与持续硬膜外麻醉在子宫肌瘤手术中的实际应用效果。方法回顾性分析2017年4月至2018年4月临沂市中医医院收治的40例接受子宫肌瘤手术治疗患者的临床资料,根据麻醉方式分为对照组(20例)与观察组(20例)。比较两组的麻醉效果和安全性。结果观察组优良比为19/20,对照组优良比为15/20,差异未见统计学意义(P>0.05);麻醉后15min,观察组患者收缩压和舒张压均低于对照组,差异有统计学意义(P<0.05);观察组的不良反应发生比(5/20)低于对照组(10/20),差异有统计学意义(P<0.05)。结论对子宫肌瘤手术患者采取持续硬膜外麻醉与腰硬联合麻醉均具有较好的麻醉效果,但腰硬联合麻醉的安全性更好,可作为临床首选麻醉方案。

Objective To investigate the practical effect of combined spinal-epidural anesthesia and continuous epidural anesthesia on patients in hysteromyoma surgery. Methods The clinical data of 40 patients who underwent hysteromyoma surgery in Linyi Traditional Chinese Medicine Hospital from April 2017 to April 2018 were retrospectively analyzed. And enrolled patients were divided into control group (20 cases) and observation group (20 cases) according to their anesthetic methods. The anesthetic effect and safety of the two groups were compared. Results The excellent and good ratio of observation group was 19/20, and the excellent and good ratio of control group was 15/20, and there was a statistically significant difference between the two groups (P>0.05). After 15 minutes of anesthesia, the systolic blood pressure and diastolic blood pressure of observation group was lower than those of control group, and the difference between the two groups was significant (P<0.05). The ratio of adverse reactions in observation group was 5/20, and it was 10/20 in control group, and the difference was significant (P<0.05). Conclusions Continuous epidural anesthesia and combined spinal-epidural anesthesia both have good anesthetic effect on patients in hysteromyoma surgery. However, the combined spinal-epidural anesthesia is safer and can be used as the clinical anesthesia.