不同麻醉方式对下肢骨科手术患者术后镇痛效果以及排尿方式的影响

The Effect of Different Anesthesia Methods on Postoperative Analgesic Effect and Urination in Patients with Lower Extremity Orthopedic Surgery

目的探究不同麻醉方式对下肢骨科手术患者术后镇痛效果以及排尿方式的影响。方法选取2016年10月—2017年10月在该院治疗的90例下肢骨科手术患者作为研究对象,分为对照组(41例)和研究组(49例),对照组采用全身麻醉,研究组采用硬膜外阻滞麻醉,对比两组患者术后镇痛效果以及排尿方式情况。结果麻醉后,研究组VAS评分为:术后2 h(1.63±0.18)分,术后4 h(1.72±0.56)分,术后8 h(1.69±0.53)分,术后12 h(1.62±0.64)分,术后24 h(1.39±0.49)分,术后48 h(1.3±0.87)分;自行排尿36例(73.47%),留置导尿13例(26.53%),均优于对照组,比较差异有统计学意义(P<0.05)。结论对下肢骨科手术患者采用硬膜外阻滞麻醉利于缓解患者术后镇痛,提高患者自行排尿率。

Objective To explore the effect of different anesthesia methods on postoperative analgesia and urination in patients with lower extremity orthopedic surgery. Methods 90 patients with lower extremity orthopedic surgery, who were admitted to our hospital from October 2016 to October 2017, were divided into control group(n=41)and study group(n=49). The control group was treated with general anesthesia, the study group with epidural anesthesia, compared the postoperative analgesic effect and urinary modes of two groups. Results After anesthesia, the VAS score of the study group was: 2 h after operation(1.63 ± 0.18)points, 4 h after operation(1.72 ± 0.56)points, 8 h after operation(1.69 ± 0.53)points, 12 h after operation(1.62 ± 0.64)points, 24 h after operation(1.39 ± 0.49)points, 48 h after operation(1.3 ±0.87) points. 36 cases(73.47%) of spontaneous urination, and 13 cases(26.53%) of indwelling catheterization, all were better than the control group, the difference was statistically significant(P <0.05). Conclusion Using epidural block anesthesia in patients with lower extremity was beneficial to relieve postoperative analgesia and improve the patients' urination rate.