Application of two puncture in epidural cavity of lumbar subarachnoid space block anesthesia / 中国基层医药

ABSTRACT

ObjectiveTo explore the effect of two puncture during epidural cavity of lumbar subarachnoid space block anesthesia( referred to as combined spinal-epidural anesthesia).MethodsClincal dato of 50 cases of application,two puncture method combined spinal-epidural anesthesia for abdominal hysterectomy Electrocardiogram,heart rate (HR),oxygen saturation,blood pressure (BP) changes were analyed were retrospectively analyzed.using modified Bromage scoring method to determine motor nerve block and the quality of anesthesia.Results50 cases were successfully completed operation,without changing the mode of anesthesia.Motor nerve block anesthesia and quality excellent rate was 100％,the abdominal and cervical muscle relaxation quality excellent rate was 100％,analgesia was completely.No difficulty in breathing,chest tightness,headache,intraoperative fluid infusion about 1500ml,operation time ( 135.0 ± 4.5 ) min.48 patients hemodynamic status ( SpO2,HR,BP) remained stable,2 patients after anesthesia 10min appeared a drop in blood pressure,intravenous injection ephedrine 10mg returned to normal.Postoperative patients were cured,no neurological complications after anesthesia.ConclusionTwo puncture lumbar epidural combined anesthesia applied to hysterectomy had good,anesthesia effect,less complications,should be worthy of promotion.