| 腰麻—硬膜下联合麻醉在下肢手术中的临床观察 |
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| 引用本文： | 邓玫,陈璧,等.腰麻—硬膜下联合麻醉在下肢手术中的临床观察[J].大理医学院学报,2001,10(1):43-44. |
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| 作者姓名： | 邓玫 陈璧 等 |
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| 作者单位： | 云南省曲靖市第一人民医院麻醉科 |
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| 摘 要： | 目的：观察对比腰麻-硬膜外联合麻醉(CSEA)与连续硬膜外麻醉(EA)施行下肢手术的麻醉效果及并发症。方法：60例ASA(美国麻醉医师学会)Ⅰ～Ⅱ级随机分为CSEA组和EA组。CSEA组为硬膜外穿刺成功后退出针芯行腰穿，注入0.5％布比卡因重比重液1.5ml后向头侧置入硬膜外导管3cm作备用。EA组按硬膜外麻醉常规操作，注入试探量2％利多卡因5ml后有平面无腰麻征再追加2％利多卡因10～13ml。观察记录两组的麻醉效果及并发症的发生率。结果：CSEA组与EA组的麻醉效果阻滞完善率相比有显著性差异(P<0.01)，两组并发症发生率亦有一定的差异。结论：CSEA是一种既保留了硬膜外麻醉及腰麻的优点又弥补了各自不足的可取方法。
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| 关 键 词： | 腰麻－硬膜外联合麻醉 下肢手术 CSEA 麻醉方法 |
| 文章编号： | 1004-4442(2001)-01-0043-02 |
| 修稿时间： | 2000年6月13日 |
Clinical Observation of CSEA in Operations of Lower Limbs |
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| DENG Mei,CHEN Bi,TANG Xin-ren.Clinical Observation of CSEA in Operations of Lower Limbs[J].Journal of Dali Medical College,2001,10(1):43-44. |
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| Authors: | DENG Mei CHEN Bi TANG Xin-ren |
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| Abstract: | Objective: To observe the clinical effect and syndrome of CSEA and EA in operations of lower limbs. Methods: 60 cases were divided into 2 stochastic groups: Group CSEA and group EA. The clinical effect and syndrome of 2 groups have been observed and compared. Results: The clinical effect of group CSEA was significant difference with group EA( p<0.01 ). Conclusions: CSEA is a better method which could ob tain better clinical effect. |
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| Keywords: | CSEA Operations of Lower Limbs Clinical observation |
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