Comparative study on combined spinal-epidural anesthesia and combined epidural anesthesia in uterine myomectomy / 中国医学装备

ABSTRACT

Objective:To comparative study the clinical effect of combined spinal-epidural anesthesia and combined epidural anesthesia in uterine myomectomy.Methods:Totally 90 cases of patients with uterine myomectomy in our hospital from March 2012 to March 2013 were randomly divided into observation group and the control group, 45 patients in the control group were given epidural anesthesia, and observation group were given combined spinal-epidural anesthesia. BP, HR and surgical traction reaction were monitored in the operation and the effects of anesthesia and adverse events of the two groups were compared.Results: (1) Blood pressure of patients in two groups was decreased during anesthesia. Systolic pressure (x2=5.232,P<0.01) and diastolic blood pressure (x2=6.251,P<0.05) of patients in observation group were lower than control groups. The difference was statistically significant. (2)Patients of observation group showed shorter anesthesia onset time (x2=6.278,P<0.05) and completing time (x2=9.674,P<0.05), lower local anesthetics dosage (x2=12.256,P<0.05), better evaluation of anesthesia, and fewer adverse reactions. The difference was statistically significant (x2=16.576,P<0.01). (3)Anesthesia excellent rate in observation group were higher than that of control group, the difference was statistically significant (P<0.01).Conclusion: Combined spinal-epidural anesthesia has better anesthesia effects in uterine myomectomy than epidural anesthesia. And it is a worthy use of anesthesia.