标题：肛肠病患者不同麻醉方法的效果比较

      作者：李 平，陈彩凤
    （深圳市光明新区人民医院麻醉科，广东 深圳 518106）

      卷次： 2013年24卷3期

      【摘要】 目的 探讨肛肠病患者不同麻醉方法的效果。方法 选取我院肛肠病手术患者60例，其中局麻组
19例，骶麻组17例，小剂量腰麻组24例。对其临床资料进行回顾性分析。结果 腰麻组起效时间明显少于其他
两组，且麻醉效果维持时间明显长于其他两组（P<0.05），局麻组不良反应发生率为31.58%，骶麻组为23.53%，腰
麻组为16.67%，与骶麻组和局麻组比较差异具有统计学意义（P<0.05）。腰麻组于首次排便时、术后24 h内以及
换药时疼痛发生率均明显低于其他两组（P<0.05）。结论 采用小剂量腰麻具有麻醉效果确切，术后疼痛发生率
低的特点，是肛肠手术比较理想的麻醉方法。

      【关键词】 肛肠病；麻醉方法；术后疼痛

      【中图分类号】 R57 【文献标识码】 A 【文章编号】 1003—6350（2013）03—0372—03


Comparison of different anesthetic techniques for patients with anorectal diseases.
LI Ping, CHEN Cai-feng.
Department of Anaesthesiology, People's Hospital of Guangming New District of Shenzhen City, Shenzhen 518106,
Guangdong, CHINA

【Abstract】 Objective To study the effect of different anesthetic techniques for patients with anorectal dis-
eases. Methods The clinical data of 60 patients with anorectal diseases undergoing surgery in our hospital were ret-
rospectively analyzed. The patients were divided into three groups: the local anesthesia group (n=19), the sacral hemp
group (n=17), and the small dose lumbar hemp group (n=24). Results The small dose Lumbar hemp group had sig-
nificantly shorter onset time and significantly longer anesthetic duration than the other two groups (P<0.05). The inci-
dence of adverse reactions was 16.67% in the small dose lumbar hemp group, showing statistically significant differ-
ence with that of the local anesthesia group (31.58%)and the sacral hemp group (21.05%), P<0.05. The incidence of
pain were significantly lower in the small dose lumbar hemp group than the other two groups at the first bowel move-
ment, dressing change and within postoperative 24 h (P<0.05). Conclusion The small dose lumbar hemp technique
has significant anesthetic effect and low incidence of postoperative pain, which serves as an ideal anesthetic method
for anorectal surgery.

      【Key words】 Anorectal diseases; Anesthetic technique; Postoperative pain