三联麻醉法在混合痔手术中的应用

目的:评价丙泊酚、芬太尼静脉基础麻醉联合局麻即三联麻醉法在混合痔手术中的麻醉效果及安全性。方法:将60例混合痔患者随机分为联合组和对照组,每组30例,联合组病人麻醉方式采用丙泊酚、芬太尼做基础麻醉,辅以肛周局部神经阻滞麻醉;对照组单纯采用肛周局部神经阻滞麻醉。观察并记录术中病人HR、MBP、SpO2、手术肌松程度、患者满意度、术后不良反应和尿潴留情况。结果:两组患者基础心率无差异,术中10min、20min、手术结束时心率联合组慢于对照组,P<0.05;两组患者在SpO2、MBP方面差异无统计学意义,P>0.05。联合组的肌松满意度、患者满意度均优于对照组,P<0.05;两组在尿潴留、不良反应方面差异无统计学意义,P>0.05。结论:三联麻醉法安全性较好,麻醉效果理想,患者易于接受。

The application of triple anesthesia in operation of mixed hemorrhoid

Objective:To analyze the effect and security of the triple anesthesia in operation of mixed hemorrhoid. Methods: 60 patients with mixed hemorrhoid were divided into combination group(30 cases) and control group(30 cases). Patients in combination groupunderwent basal anesthesia consist of propofol, fentanyl and local anesthesia, which was called triple anesthesia. Patients in control group underwent local anesthesia only. HR, MBP, SpO2 and degree of muscular flaccidity of in-operative patients were observed and recorded, meanwhile the satisfactory degree of patients, adverse reaction and urinary retention were recorded. Results: There was no significant difference of basal HR between two groups,and the HR recorded at 10min, 20min and the end of the surgery in combination group were slow than that of control group(P<0.05). There was no significant difference of SPO2 and MBP between two groups(P>0.05). The satisfactory degree of patients and degree of muscular flaccidity in combination group was higher than that of control group. There was no significant difference of adverse reaction and urinary retention in two groups. Conclusion: The triple anesthesia has good security and clinical effect, which was easily accepted by patients.