Anesthesiology and Pain Management
Anesthesiology and Pain Management. 2025; 1: (1) ; 10.12208/j.apm.20250004 .
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陕西省人民医院麻醉科 陕西西安
*通讯作者： Hui Ding,单位：陕西省人民医院麻醉科 陕西西安；
目的 分析硬膜外麻醉与硬膜外麻醉联合应用于腰椎间盘突出症手术的临床效果。方法 选取2014年3月至2015年8月我院收治的腰椎间盘突出症患者60例作为研究对象。他们被随机分为研究组和对照组，每组30例。研究组采用腰椎硬膜外联合麻醉，对照组采用硬膜外麻醉。比较两组患者治疗后的临床疗效、不良反应发生率、镇痛及肌肉松弛效果。结果 A组腰硬膜外麻醉总有效率显著高于对照组，差异有统计学意义（P<0.05）；与对照组相比，研究组麻醉起效时间更短，麻醉药物用量更少，麻醉持续时间更长。两组比较差异有统计学意义（P<0.05）；腰椎硬膜外麻醉与硬膜外麻醉两组患者不良反应发生率比较，差异无统计学意义（P < 0.05）；研究组镇痛效果和肌肉松弛效果最佳率均高于对照组，差异有统计学意义（P<0.05）。结论 腰椎间盘突出症手术中应用硬膜外麻醉治疗腰椎间盘突出症疗效显著，是一种安全有效的麻醉方法，值得临床推广。
Objective To analyze the clinical effects of combined lumbar epidural anesthesia and epidural anesthesia in the surgery of patients with lumbar disc herniation. Methods Sixty patients with lumbar disc herniation admitted to our hospital from March 2014 to August 2015 were selected as the study subjects. They were randomly divided into a study group and a control group with 30 cases each. The study group received combined lumbar epidural anesthesia, while the control group received epidural anesthesia. The clinical efficacy, incidence of adverse reactions, and analgesic and muscle relaxant effects of the two groups of patients after treatment were compared. Results The total effective rate of group A using lumbar epidural anesthesia was significantly higher than that of the control group, and the difference was statistically significant (P<0.05); Compared with the control group, the study group had a shorter onset time of anesthesia, lower dosage of anesthetic drugs, and longer duration of anesthesia. The difference between the two groups was statistically significant (P<0.05); There was no significant difference in the incidence of adverse reactions between the two groups of patients receiving lumbar epidural anesthesia and epidural anesthesia, and the comparison was not statistically significant (P>0.05); The optimal rates of analgesic and muscle relaxation effects in the study group were higher than those in the control group, with statistically significant differences (P<0.05). Conclusion The use of lumbar epidural anesthesia during surgery for patients with lumbar disc herniation has a significant therapeutic effect and is a safe and effective anesthesia method that is worthy of clinical promotion.
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