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目的探索腰麻联合硬膜外麻醉在子宫肌瘤切除术中临床麻醉效果及不良反应。方法 100例子宫肌瘤患者,随机分为对照组和观察组,各50例。对照组采用连续硬膜外麻醉,观察组采用腰麻联合硬膜外麻醉,观察两组患者的麻醉效果及不良反应。结果对照组优32例,良8例,差10例,优良率为80%;观察组优38例,良10例,差2例优良率为96%,观察组联合麻醉效果明显优于对照组,差异有统计学意义(P<0.05)。两组均出现不同程度血压下降,经对症治疗恢复正常。结论对子宫肌瘤患者采用腰麻联合硬膜外麻醉效果显著,术后镇痛效果明显,肌松良好,起效快,神经阻滞完善,并发症少,安全可靠,值得临床推广。
Objective To explore the clinical anesthesia and adverse reactions of spinal anesthesia combined with epidural anesthesia in myomectomy. Methods 100 patients with uterine fibroids were randomly divided into control group and observation group, 50 cases each. The control group received continuous epidural anesthesia. The observation group was treated with spinal anesthesia and epidural anesthesia. The anesthetic effects and adverse reactions of the two groups were observed. Results The control group was excellent in 32 cases, good in 8 cases and poor in 10 cases, the excellent and good rate was 80%. The excellent and good rate was 80% in the observation group, 38 cases in the observation group, 10 cases in good and 2 cases in poor. The excellent and good rate in observation group was better than that in control group , The difference was statistically significant (P <0.05). Both groups showed varying degrees of blood pressure decreased by symptomatic treatment returned to normal. Conclusions The treatment of uterine fibroids with spinal anesthesia combined with epidural anesthesia significantly, postoperative analgesic effect is obvious, good muscle relaxation, rapid onset, perfect nerve block, less complications, safe and reliable, worthy of clinical promotion.