摘要
目的探讨不同比重布比卡因对行蛛网膜下腔阻滞麻醉的肛肠手术患者术后排尿功能、运动恢复的影响。方法采取整群抽样法,抽取广东省佛山市高明区人民医院2016年1月至2017年6月收治的90例行蛛网膜下腔阻滞麻醉的肛肠手术患者作为研究对象,按照随机数字表法将其分为3组各30例,A组给予轻比重布比卡因混合液,B组给予等比重布比卡因混合液,C组给予重比重布比卡因混合液。比较3组患者感觉阻滞持续时间、运动阻滞持续时间、下肢运动神经阻滞评分、生命体征指标、麻醉效果、术后排尿恢复时间、术后下肢运动恢复时间、术后不良反应发生率。结果 A组患者的感觉阻滞持续时间、运动阻滞持续时间明显短于B组、C组(均P<0.05),其下肢运动神经阻滞评分低于B组、C组(均P<0.05),而B组与C组比较差异均无统计学意义(均P>0.05)。A组、B组及C组患者麻醉前后的收缩压、舒张压、心率比较差异均无统计学意义(均P>0.05)。B组、C组的麻醉优良率高于A组(P<0.05),而B组与C组比较差异无统计学意义(P>0.05)。A组、B组患者的术后排尿恢复时间、术后下肢运动恢复时间均明显短于C组(均P<0.05),而A组与B组比较差异均无统计学意义(均P>0.05)。3组患者术后不良反应发生率比较,差异无统计学意义(P>0.05)。结论等比重布比卡因用于行蛛网膜下腔阻滞麻醉的肛肠手术患者中,麻醉效果良好,可加快患者术后排尿功能、运动功能恢复,兼具有效性和安全性。
Objective To investigate the effects of different proportion of bupivacaine on urinary function and motor recovery after anorectal surgery under subarachnoid block anesthesia. Methods A total of 90 cases of anorectal surgery were selected for combined spinal epidural anesthesia from January 2016 to June 2017 in People’s Hospital of Gaoming District, Foshan City, Guangdong Province. According to the random number table method, 90 cases of patients undergoing anorectal surgery were divided into 3 groups with 30 cases in each group. Group A was given low proportion of bupivacaine mixture, while group B was given equal proportion of bupivacaine mixture and group C was given high proportion of bupivacaine mixture. The duration of sensory block, duration of motor block, lower limb motor nerve block score, vital sign index, anesthetic effect, postoperative micturition recovery time, postoperative lower limbs motor recovery time and incidence of postoperative adverse reactions were compared among the three groups. Results The duration of sensory block and motor block in group A was shorter than that in group B and group C(P<0.05), and the lower extremity motor block score was lower than that in group B and group C(P<0.05), while there was no significant difference between group B and group C(P>0.05). There were no significant changes in systolic blood pressure, diastolic blood pressure and heart rate before and after anesthesia were observed in group A, group B and group C(P>0.05). Compared anesthetic effect among groups, the excellent rate of anesthesia in group B and group C was higher than that in group A(P<0.05), while there was no significant difference between group B and group C(P>0.05). Postoperative micturition recovery time and postoperative lower limbs movement recovery time of group A and group B were shorter than those of group C(P<0.05), while there was no significant difference between group A and group B(P>0.05). There was no significant difference in the incidence of postoperative adverse reactions among the three groups(P>0.05). Conclusion The anesthesia effect of isobaric bupivacaine in patients undergoing anorectal surgery under subarachnoid block anesthesia is good. It can accelerate the recovery of urination and motor function after operation, and has both efficacy and safety.
作者
梁凌
王敏
钟爱群
黄晓媚
关志荣
LIANG Ling;WANG Min;ZHONG Ai-Qun;HUANG Xiao-Mei;GUAN Zhi-Rong(Department of Anesthesiology,People's Hospital of Gaoming District,Foshan 528500,China)
出处
《中国药物经济学》
2019年第1期51-54,共4页
China Journal of Pharmaceutical Economics
基金
佛山市卫生和计生局医学科研课题立项(20160279
名称:不同比重布比卡因腰麻对术后排尿功能
运动恢复的影响)
关键词
麻醉效果
布比卡因
排尿功能
运动恢复
Anesthetic effects
Bupivacaine
Urinary function
Motion recovery
作者简介
通信作者:王敏,E-mail:1193878950@qq.com.
