脊柱畸形致困难硬膜外麻醉效果观察

The observation of the effect of difficulties in epidural anesthesia caused by spinal deformity

目的:探讨硬膜外麻醉对于脊柱畸形患者的效果。方法:收治脊柱畸形致困难硬膜外麻醉患者32例,均为成人下腹及下肢手术,另外选取32例腰椎正常无疾患成人进行下腹及下肢手术比较,对比两者麻醉效果及各项生理指标的变化。结果:麻醉的持续时间、麻醉效果、术后感觉恢复时间、麻醉并发症和麻醉前后的Rf、Vt、BR、Sp O2的变化与脊柱正常患者差异无统计学意义。结论:硬膜外麻醉应用于脊柱畸形患者时的效果及其各功能的指标变化与正常人相近,因此,上腹部及下肢的各部位手术选择硬膜外麻醉是可行的。

Objective:To investigate the effect of epidural anesthesia for patients with spinal deformity.Methods:32 patinets who completed the spinal deformity difficult to epidural anesthesia were given adult lower abdominal and lower limb operation.In addition,32 adults whose lumbar was normal abdominal had the lower abdominal and lower limb operation to do the comparison.We compared the effect of both anesthesia and the change of physiological indicators.Results:The duration of anaesthesia,anesthetic effect,the sensory recovery time after operation,complications of anesthesia and the changes of Vt,Rf,BR,Sp O2 before and after anesthesia compared with the patients with spine normal without obvious difference.Conclusion:The anesthesia effect and its function changes of epidural use in spinal deformity patients is similar to the normal people,therefore,the epidural anesthesia in the various regions of upper abdominal and lower limb operation is feasible.