摘要：目的：比较硬膜外麻醉(CEA)和腰-硬联合麻醉(CSEA)在临床使用过程中的效果。方法：选择下腹部和下肢择期手术共120例，随机分为两组，分别施于硬膜外麻醉和腰-硬联合麻醉。观察两组患者的麻醉平面和麻醉效果并连续监测心率、血压、心电图、血氧饱和度等。结果：CSEA 组最高阻滞平面与CEA相近，但术中麻醉效果比率大于CEA组。两组在注入局麻药后均出现血压下降。CSEA组术后无1例出现头痛，阻滞平面过高或全脊髓麻醉等并发症。结论：CSEA具有腰麻和硬膜外麻醉的双重优点，起效快、镇痛完善、肌松效果好、可控性强以及副作用小等。

    关键词：联合麻醉；腰麻；硬膜外麻醉

    Conjoined Application of the Lumbar Anesthesia and Epidural Anesthesia

    WANG Ling

    (The First People’s Hospital, Anhui Anqing 246003 ,China)

    Abstract： Objective： To compare the effect of epidural anesthesia (CEA) and lumbar- epidural synaptic anesthesia (CESA) in clinical use. Method： We chose 120 cases from the selective operation of bythus and lower limb,which were divided into two groups, to perform epidural anesthesia and lumbar- epidural synaptic anesthesia respectively. We observed the anesthesia plane and effect of the patients in two groups, monitored heart rate, blood pressure, electrocardiogram, saturation of blood oxygen etc. Result： The maximal block plane was close,but the ratio of anesthesia effect in the CESA group was larger than in the CSA group. Blood pressure descent occurred in both of the two groups.There were not one complication such as headache,block plane too high,or whole medullary narcosis. Conclusion： CSEA had double merits of lumbar anesthesia and epidural anesthesia , which it’s effect was quick, analgesia was consummate, the effect of muscle relaxation was good, controllability was strong,and it’s adverse reaction was tiny etc. ...... 濠碘€冲€归悘澶愬箖閵娿儲韬ù锝堟硶閺併倝骞嶇€ｎ偅绨氱紒娑橆槹缁侊妇鎲撮崼鐔割槯闁哄啰濮电涵鍫曞蓟閵壯勭畽闁瑰瓨鐗旂粭鍛姜閽樺寮块柡鍌氭祫缁辨繈宕ｉ婵嗗幋闁哄嫷鍨甸～锕傚箹濠婂懎鍋嶇€殿喗娲橀幖鍛婂緞鏉堚晜鍩傞柍銉︾矎濞村棝鎯嶆担娴嬪亾濠垫挾绀夐悹鍥棑閸嬶綁宕欑拠鑼綄妤犵偞娲樺〒鑸电▔鐎ｎ偅鐓欓柣銊ュ閳ь剚绮庨弫鎼佹嚇閹寸姴顣奸柍銉︾箖閸ㄣ劑鍨惧⿰鍐ㄦ枾缂傚啯鍨块妴澶愬灳濠靛⿴鍟忛梻鍌ゅ枔閳ь剨鎷�


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