腰硬联合麻醉在老年妇科肿瘤手术中的应用

摘要

Objective: To study the value of spinal-epidural anesthesia in elderly patients with gynecological neoplasm's surgery. Method: Elective 130 cases of elderly patients with gynecological neoplasm's surgery were randomly divided into combined spinal and epidural anesthesia group ( CSEA group ) and epidural anesthesia group ( EA group) ,65 eases in each group. Onset of anesthesia were observed,perfect time for local anesthetic dosage, muscle satisfaction, painless rate and adverse reaction. Result: CSEA group of local anesthetic dosage was less than EA group, sensory block onset time, improved the time of arrest was significantly shorter in the EA group( P＜O.01 ). Besides hypotension, adverse reaction in the two groups had no significant difference ( P＞0.05 ). Conclusion: Combined spinal and epidural anesthesia for gynecological neoplasm's surgery in elderly patients is a reliable and feasible anesthesia, which has fast efficiency, long maintenance period,less local anesthetic dosage and low adverse reaction. It is an anesthetic approach to recommend.%目的:研究腰-硬联合麻醉(CSEA)在老年妇科肿瘤手术中的应用价值.方法:将130例择期手术的老年妇科肿瘤患者随机均分为CSEA和EA组,CSEA组行硬腰联合麻醉,EA组行单纯硬膜外麻醉.观察两组麻醉后的麻醉起效时间、阻滞完全时间、局麻药用量、肌松满意程度、无痛率以及不良反应.结果:CSEA组麻醉诱导时间及阻滞完全时间明显短于EA组,硬膜外局麻药用量明显少于EA组(P<0.01).除低血压外,两组不良反应比差异无显著性(P>0.05).结论:腰硬联合麻醉应用于老年性妇科肿瘤手术,是一种简易可靠易行的麻醉方法,具有起效快,维持时间长,局麻药用量少,不良反应发生率低,是一种值得推荐的麻醉方式.