微创医学

目的比较微创腰麻联合硬膜外麻醉与单纯硬膜外麻醉在下腹部手术麻醉中的应用效果。方法选择ASAⅠ～Ⅱ级、拟行下腹部手术的60例患者为研究对象，随机分为A、B组，每组30例。A组给予微创腰麻联合硬膜外麻醉，B组给予单纯硬膜外麻醉。比较两组麻醉平面、麻醉起效时间及麻醉前后血压、心率的变化，以评估麻醉效果。结果A组麻醉平面出现较B组明显快，阻滞平面范围较B组广，肌松效果明显优于B组，牵拉反应及辅助用药B组较A组明显增多， A组的麻醉效果优良率明显好于B组，两组比较，差异有统计学意义（P＜0.05）。结论微创腰麻联合硬膜外麻醉应用于腹部手术，具有起效快、阻滞效果好、肌松好、牵拉反应轻等优点，辅助用药少，是在下腹部短小手术中可行的麻醉方法。

ObjectiveTo compare the narcotic effect of minimally invasive spinal anesthesia combined epidural anesthesia and epidural anesthesia in abdominal operation. Methods60 cases with ASAⅠ-Ⅱ planned to receive abdominal surgery, were divided into group A and group B, 30 cases in each group. Group A were given minimally invasive spinal anesthesia combined with epidural anesthesia, group B were given epidural anesthesia alone. The anesthesia plane, anesthesia work time, and blood pressure, heart rate before and after anesthesia of the two groups were compared, aimed to assess the effect of anesthesia. ResultsThe anesthesia plane of group A appeared faster than that of group B, block range was wider than that of group B, the muscle relaxant effect is obviously better than that of group B; pull reaction and auxiliary medication of group B were more than those of group A , the anesthetic effect of group A was significantly better than group B, the difference was statistically significant(P＜0.05). ConclusionMinimally invasive spinal anesthesia combined with epidural anesthesia in abdominal surgery, has the advantages of quick effect, good effect, block muscle relaxation, mild traction, auxiliary use less; it is a kind of feasible anesthesia method in lower abdominal surgery.