改良骶管阻滞辅助静脉麻醉在特殊体型患者宫腔镜手术中的临床研究

目的:探讨改良骶管阻滞辅助静脉麻醉在特殊体型患者宫腔镜手术中的临床研究。方法:将64例肥胖宫腔镜手术患者分为对照组与治疗组,对照组静脉麻醉治疗,治疗组给予骶管麻醉辅助静脉麻醉治疗。对照组患者给予丙泊酚、芬太尼麻醉;治疗组患者则用0.75%盐酸布比卡因3ml-5ml+2%盐酸利多卡因5ml--8ml+l0.9%氯化钠注射液15ml+芬太尼0.015mg骶管阻滞麻醉,观察并比较两组患者术中麻醉效果、麻醉管理难度及术后止痛效果,并对麻醉并发症及术后疼痛程度进行评估。结果:与对照组相比,治疗组患者手术大夫满意度(P<0.05),且术后患者疼痛程度明显减轻(P <0.05);两组出血量无显著差异(P>0.05)。结论:在骶管麻醉辅助静脉麻醉治疗麻醉效果、镇痛效果显著,可使盆底肌肉松弛,降低手术难度,便于麻醉管理,且不增加产后出血,值得临床推广应用。

Objective: to investigate the clinical study of modified sacral obstruction assisted intravenous anesthesia in laparoscopic surgery in patients with special body types. Methods: 64 cases of patients with obesity hysteroscopy were divided into control group and treatment group, and the control group was treated with intravenous anesthesia. The control group was given propofol and fentanyl anesthesia. Treatment group patients with 0.75% hydrochloric acid cloth than paid 3 ml to 5 ml + 2% lidocaine hydrochloride 5 ml-8 ml + 15 ml l0.9 % sodium chloride injection plus fentanyl 0.015 mg sacral canal blocking anesthesia, intraoperative anesthetic effect to observe and compare the two groups of patients, and postoperative analgesic effect of anesthesia management difficulty, and to evaluate anesthesia. Conclusion: in the sacral canal anesthesia assisted intravenous anesthesia for anesthesia effect and analgesic effect significantly, can make the pelvic floor muscles, reduce the operation difficulty, facilitate anesthesia management, and does not increase postpartum hemorrhage, worthy of clinical popularization and application.