腰-硬联合麻醉用于糖尿病下肢血管病变手术的麻醉效果评价

Anesthetic Effect Evaluation of Lumbar-hard Combined Anesthesia for Diabetic Lower Extremity Vascular Disease Surgery

目的研究腰-硬联合麻醉用于糖尿病下肢血管病变手术的麻醉效果。方法该次纳入2018年7月—2019年6月期间在该院进行手术治疗的80例糖尿病下肢血管病变患者展开研究,按照随机数字表法分为两组,对照组40例进行全身麻醉,观察组40例予以腰-硬联合麻醉。将两组的手术及麻醉情况、疼痛评分、血糖水平、麻醉满意度、不良反应发生情况进行比对。结果观察组糖尿病下肢血管病变患者的手术时间、麻醉起效时间、术后苏醒时间均短于对照组,而术后各个时间点的疼痛评分、血糖水平以及不良反应发生率均低于对照组,差异有统计学意义(P<0.05)。结论腰-硬联合麻醉应用在糖尿病下肢血管病变患者手术中的麻醉效果良好,有助于缓解术后疼痛感以及减少不良反应的发生。

Objective To study the anesthetic effect of combined lumbar-hard anesthesia for diabetic lower extremity vascular disease surgery.Methods Eighty patients with diabetic lower extremity vascular disease who underwent surgery in the hospital from July 2018 to June 2019 were enrolled.They were divided into two groups according to the random number table method,and 40 patients in the control group underwent general anesthesia.40 patients in the observation group underwent combined lumbar-hard anesthesia.The surgery and anesthesia,pain score,blood glucose level,anesthesia satisfaction,and adverse reactions were compared between the two groups.Results The operation time,anesthesia onset time,and postoperative recovery time of patients with diabetic lower extremity vascular disease were shorter than those of the control group,and the pain score,blood glucose level,and adverse reaction rate at each time point were lower than those of the control group.The difference was statistically significant(P<0.05).Conclusion The combination of lumbar-hard anesthesia is effective in the anesthesia of patients with diabetic lower extremity vascular disease,which can help relieve postoperative pain and reduce the incidence of adverse reactions.