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《神經(jīng)阻滯麻醉復(fù)合分次浸潤麻醉在會(huì)陰切開術(shù)中的應(yīng)用效.pdf》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在行業(yè)資料-天天文庫。
1、·10·中國實(shí)用醫(yī)藥2012年7月第7卷第20期ChinaPracMed，Jul2012，Vol．7，No．20神經(jīng)阻滯麻醉復(fù)合分次浸潤麻醉在會(huì)陰切開術(shù)中的應(yīng)用效果劉曉芳馮宇峰【摘要】目的比較神經(jīng)阻滯麻醉復(fù)合分次局部浸潤麻醉與單純陰部神經(jīng)阻滯麻醉在會(huì)陰切開縫合術(shù)的鎮(zhèn)痛效果及安全性。方法選擇120例陰道分娩產(chǎn)婦，22～33歲，隨機(jī)分為觀察組(n=60):采用會(huì)陰神經(jīng)阻滯麻醉復(fù)合分次局部浸潤麻醉和對(duì)照組(n=60):采用陰部神經(jīng)阻滯麻醉。觀察并記錄兩組患者縫合切口時(shí)的疼痛程度、縫合時(shí)間、產(chǎn)后24h出血量、切口局部水腫、切口舒適度、出院前切口愈合情況、麻醉合并癥
2、及用藥后的不良反應(yīng)。結(jié)果觀察組縫合切口時(shí)的麻醉鎮(zhèn)痛效果、縫合時(shí)間、產(chǎn)后24h出血量、切口舒適度明顯優(yōu)于對(duì)照組(P＜0.01或P＜0.05);兩組會(huì)陰切口局部水腫情況、會(huì)陰切口愈合情況、合并癥、不良反應(yīng)發(fā)生率比較差異無統(tǒng)計(jì)學(xué)意義(P＞0.05)。結(jié)論兩種麻醉方法均可安全用于會(huì)陰切開縫合術(shù)，但會(huì)陰神經(jīng)阻滯麻醉復(fù)合分次局部浸潤麻醉的鎮(zhèn)痛效果優(yōu)于單純神經(jīng)阻滯麻醉，且操作簡(jiǎn)單，安全有效，無不良反應(yīng)，可縮短縫合時(shí)間，不影響會(huì)陰切口的愈合?！娟P(guān)鍵詞】會(huì)陰切開縫合術(shù);局部浸潤麻醉;神經(jīng)阻滯麻醉Applicationefficacyofnerveblockinganesth
3、esiacombinedwithlocalinfiltrationanesthesiaundergoingepisiotomysutureLIUXiao-fang，F(xiàn)ENGYu-feng.DeliveryRoom，XiamenMaternalandChildrenHospital，Xiamen361003，China【Abstract】ObjectiveTocomparetheapplicationefficacyandsafetyofnerveblockinganesthesiacombinedwithlocalinfiltrationanesthesi
4、aandnerveblockinganesthesiainparturientpregnantwomenofvaginaldeliveryundergoingepisiotomysuture.MethodsOnehundredandtwentyparturientpregnantwomen(22～33yearsold)ofvaginaldeliverywererandomlydividedintoobservationgroupandcontrolgroupwith60caseseach.Observationgroupreceivednerveblock
5、inganesthesiacombinedwithlocalinfiltrationanesthesia．Controlgroupreceivednerveblockinganesthesia，andbothgroupswereperformedwith1%lidocaine.Thepatient`sde-greeofpainduringepisiotomysuture，thetimeofstitchwound，vaginalbleedingquantity24hoursafterdelivery，localedemacomplexionofperineu
6、mincision，comfortabledegreeofincision，concrescencecomplexionofinci-sionbeforepatientsleavinghospital，thecomplicationsandadverseeffectsofanesthesiawereobservedandre-cordedduringeachoperation.ResultsThepatient’seffectofanesthesiaduringepisiotomysuture，thetimeofstitchwound，vaginalble
7、edingquantityafter24hoursofdelivery，comfortabledegreeofincisionwereconsideredsignificantlybetterinobservationgroupthanthatincontrolgroup(P＜0.01orP＜0.05).Thepatient`slocaledemacomplexionofincision，concrescencecomplexionofincision，theincidenceofcomplicationsandadverseeffectsinthetwo
8、groupswerenotsignificant(P＞0.05).
