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肛肠手术麻醉方法的选择与研究
引用本文:曾航.肛肠手术麻醉方法的选择与研究[J].中国现代医生,2008,46(18):203-204.
作者姓名:曾航
作者单位:云南省老年病医院,昆明,650011
摘    要:目的观察鞍麻和骶麻、局麻在肛肠手术中的麻醉效果及对血流动力学的影响。方法90例肛肠手术患者分成三组,每组30例,分别采用局麻、鞍麻和骶麻。观察术中的镇痛、肌松效果,监测术前、术中的HR、MAP、SpO2变化。结果鞍麻组麻醉效果满意率明显高于骶麻、局麻组(P〈0.05);而在血流动力学方面,鞍麻组和骶麻组术前、术中的HR、MAP、SpO2均无明显改变(P〉0.05)。结论鞍麻在肛肠手术有比骶麻、局麻更好的优势,而且其麻醉效果确切,操作简单,局部解剖变异少,是肛肠手术的一种理想的麻醉方法。

关 键 词:肛肠手术  麻醉方法  鞍麻  骶麻  局麻  选择与研究

The Election and Investigation of Anesthesia Methods during Anorectal Operations
Authors:ZENG Hang
Institution:ZENG Hang Yunnan Geriatrical Hospital,Kunming 650011
Abstract:Objective To observe the anesthesia effects and influences of hemodynamics between saddle anes-thesia and caudal anesthesia and local anesthesia during anorectal operation.Methods 90 anorectal surgery patients were divided into three groups,each group was 30 cases,undertaking saddle anesthesia and caudal anesthesia and local anesthesia.The effects of analgesia and muscle relaxation were observed.HR,MAP,and SpO2 changes were monitored before and during operating.Results Saddle anesthesia group had significan...
Keywords:Anorectal operations  Anesthesia methods  Saddle anesthesia  Caudal anesthesia  Local anesthesia  Election and investigation  
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