两点法小剂量脊麻-硬膜外联合麻醉在阑尾切除术中的应用

目的 探讨阑尾切除术合理的麻醉方法.方法 随机选择100例阑尾切除术患者分为A、B两组,每组50例,A组采用两点法小剂量脊麻-硬膜外联合麻醉（combined spinal-epidural anesthesia CSEA）,B组采用连续硬膜外麻醉（Continuous epidural anesthesia CEA）.评价麻醉时效及效果,观察用药后血流动力学变化和不良反应.结果 A组的麻醉时效与效果均明显好于B组（P＜0.01）,A组不良反应明显少于B组（P＜0.01）,两组的血压变化无统计学差异.结论 小剂量脊麻-硬膜外联合麻醉在阑尾切除术中具有起效快、用药量少、麻醉效果确切、补救措施充分、不良反应少的优点,安全可靠.

Two Points Small Dose of Spinal-epidural Combined Anesthesia in the Application of Appendectomy

Objective Discuss the reasonable of anesthesia method in appendectomy. Methods 100 patients under- going elective were divide into tow groups in appendectomy. Group A（ n = 50） received tow points small dose of spinal- epidural combined anesthesia. Group B（n = 50） received Continuous epidural anesthesia. The aging and effect of anesthesia were evaluated . Hemodynamic changes and adverse reactions to drug were ob- served. Results The aging and effect of anesthesia in group A were significantly better than group B（P 〈0.01）. Adverse reaction of group A significantly was less than group B （P 〈 0.01）. Two groups of blood pressure change was no statistical differences. Conclusion Small dose of spinal anesthesia and epidural combined anesthesia in appendectomy has quick effective dose less, anesthetic effect exact, remedies fully, the advantages of less adverse reaction, safe and reliable.