丙泊酚、芬太尼加局麻与鞍麻应用于PPH术的比较

目的观察两种不同麻醉方式应用于经吻合器痔上黏膜环切术（PPH）的临床效果及对术后恢复的影响。方法将60名痔疮患者随机分成A、J两组，A组采用鞍麻的方式；J组采用静脉全麻加局麻的方式。观察围术期MAP、HR及Sp02变化，术中效果及术后并发症，对手术时间、麻醉时间、患者留院时间及留院费用的结果进行比较分析。结果静脉全麻组在推药后3minMAP明显低于基础值，P〈0．01，且SpO2低于基础值；尿潴留两组相比较，静脉全麻组明显少于鞍麻组，P〈0．01；术后眩晕两组相比较，静脉全麻组高于鞍麻组，P〈0．05。两组麻醉时间相比较有明显统计学差异，P〈0．01。全麻组留院时间较鞍麻组更短，费用更少。结论为开展及普及日间手术，在全麻下行PPH术，术中麻醉效果满意，术后恢复快，可更早离院，节约医疗费用。

The compare of propofol,fentanyl plus local anesthesia and Ma saddle used in PPH patients

Objective To investigate two different ways of procedure for prolapse and hemorrhoids (PPH) and the clinical effects of postoperative recovery.Methods 60 patients with hemorrhoids were randomly divided into A,J two groups,A group of saddle Ma manner;J group using local anesthesia plus intravenous anesthesia.Perioperative observa-tion of MAP,HR and SpO2 changes in the effect of intraoperative and postoperative compli- cations of surgery,anesthesia,hospital patients and hospital costs of the time the results of a comparative analysis.Results intravenous anesthesia drugs push in the group after 3minMAP significantly lower than the basis of value,P＜O.O1 and SpO2 lower than the value of the foundation;urinary retention compared two groups of intravenous anesthesia was significantly less than the saddle Ma group,P＜0.01;after vertigo Compared two groups of intravenous anesthesia group than the saddle Ma group,P＜O.05.Narcotic two hours compared statistically significant difference,P＜0.01.Group general anesthesia in hospital longer than a shorter saddle Ma Group at a cost less.Conclusions the popularity of day surgery and anesthesia in PPH patients,satisfied with the effect of anesthesia in surgery,postoperative recovery can be discharged from hospital earlier,saving the cost of health care.