脊髓麻醉联合硬膜外麻醉行肾移植术时合理脊髓麻醉平面的探讨

目的:探讨脊髓麻醉联合硬膜外麻醉行肾移植术时脊髓麻醉平面与麻醉效果的关系.方法:90名肾移植患者随机分为3组,均采用硬膜外麻醉联合脊髓麻醉.A组(n=30)脊髓麻醉平面调至T3-4,B组(n=30)为T5-7,C组(n=30)为T8以下.观察和比较各组术中自脊髓麻醉开始至硬膜外麻醉开始用药时间和用药量、血压波动幅度和多巴胺用量以及术中不良反应的发生情况.结果:自脊髓麻醉开始至硬膜外开始用药的时间A组>B组>C组(P<0.05).硬膜外用药总量 A组

Upper analgesia level of subarachnoid block is related to efficiency of combining spinal and epidural anesthesia in renal transplantation

Objective: To investigate the relationship between the upper analgesia level of subarachnoid block and the efficiency of combining spinal and epidural anesthesia in renal transplantation. Methods: Ninety patients undergoing renal transplantation were randomly divided into 3 groups. The upper analgesia level of subarachnoid block was T 3 4 in group A( n =30), T 5 7 in group B( n =30) and lower than T 8 in group C( n =30). When epidural drug was needed,the total amount of drug used in epidural space, the changes of blood pressure, the amount of dopamine used and the incidence of adverse effects during operation were observed. Results: The period from the beginning of spinal anesthesia to drug start to be used in epidural space:group A>group B>group C( P <0.05).And the total amount of drug used in epidural space: group A