摘要
探讨联合腰麻硬膜外麻醉 (combinedspinalandepiduralanesthesia ,CSEA)在脐以下手术中的应用。方法 :将CSEA用于 12 9例脐以下手术病人 ,观察CSEA的麻醉效果 ,对循环的影响及术后并发症。结果 :CSEA起效时间为 1～ 3(1.3± 1.2 )min ,阻滞完善时间 5～ 12 (8.8± 3.4)min ,麻醉平面固定时间 10～ 2 0 (15 .6± 3.1)min ,手术时间 2 0～ 36 0min ,肌松满意率 10 0 % ,15例发生术后轻微头痛 ,蛛网膜下腔注射局麻药后低血压发生率为 43%。结论 :CSEA具有腰麻和硬膜外麻醉的双重优点 ,即起效快 ,阻滞完善 ,肌松满意 ,可持续给药满足长时间手术要求 ,术后头痛率低 ,留置硬膜外导管可用于术后镇痛。但需特别注意对腰麻后低血压的防治。
Objective:To investigate the use of combined spinal and epidural anesthesia (CSEA) in patients undergoing operation below the umbilicus.Methods:CSEA was used in 129 patients underwent operation below the umilicus.The anesthetic effects,hemodynamic influences and postoperative complications of CSEA were observed.Results:The onset time of CSEA was 1～3(1.3±1.2)min,complete block time was 5～12(8.8±3.4)min,firm time of block level was 10～20(15.6±3.1)min.the duration of operation was 20～360min.The percentage of complete neuromuscular block was 100%.5 patients produced light post-dural puncture headache(PDPH).The percentage of hypotension associted with spinal anesthesia was 43%.Conclusions:The results indicate CSEA has advantages of spinal and epidural anesthesia,that were rapid onset,complete block,excellent neuromuscular block and low PDPH rate.CSEA may prolong the duration of anesthesia by inserting cather to epidural space and was used in postoperative analgesia.But the hypotension must be prevented and administered.
出处
《中国现代医学杂志》
CAS
CSCD
2001年第10期42-44,共3页
China Journal of Modern Medicine
关键词
腰椎麻醉
硬膜外麻醉
低血压
联合麻醉
Spinal anesthesia
Epidural Anesthesia
Hypotension Combined Spinal and Epidural Anesthesia
