摘要
目的:分析周围神经阻滞麻醉对宫腔镜手术患者麻醉效果及免疫功能的影响。方法:选择2021年4月至2024年4月,在本院接受宫腔镜手术的96例子宫肌瘤患者,按照随机数表法将所选患者分为两组(48例/组)。对照组患者给予连续硬膜外麻醉,研究组患者联合应用周围神经阻滞麻醉,对比两组患者麻醉效果。结果:研究组麻醉效果符合优良的占比高于对照组(95.83%VS 83.33%),统计差异显著(P<0.05);比较阻滞起效以及麻醉完成用时,研究组的时长低于对照组,而麻醉持续时间却增高(P<0.05);术后2h、6h以及24h评估疼痛情况发现两组患者的VAS得分逐渐降低,其中以研究组的数据更优,低于对照组(P<0.05);麻醉前两组患者CD3^(+)、CD4^(+)指标对比无显著统计差异(P>0.05);麻醉后3天对照组CD3^(+)、CD4^(+)指标明显低于麻醉前,且低于研究组,统计差异显著(P<0.05),研究组CD4^(+)指标麻醉前后对比无显著统计差异(P>0.05);两组患者不良反应包括血压异常、呕吐、头晕、短时间呼吸困难等,其中研究组出现不良反应的占比低于对照组(2.08%VS12.50%),统计差异显著(P<0.05)。结论:对宫腔镜手术患者应用周围神经阻滞麻醉技术,能够提高麻醉效果,同时降低对免疫指标的影响,进一步降低患者术后疼痛感受,临床应用价值显著。
Objective:To analyze the influence of peripheral nerve block anesthesia on anesthesia effect and immune function in patients undergoing hysteroscopic surgery.Methods:A total of 96 patients with uterine fibroids who underwent hysteroscopic surgery in our hospital from April 2021 to April 2024 were selected and randomly divided into two groups(48 cases/group).The control group was given continuous epidural anesthesia,and the study group was given peripheral nerve block anesthesia.The anesthesia effect of the two groups was compared.Results:The proportion of excellent and good anesthesia effects in the study group was higher than that in the control group(95.83%vs 83.33%),with a statistically significant difference(P<0.05).In terms of the onset time of block and the time taken to complete anesthesia,the durations in the study group were shorter than those in the control group,while the duration of anesthesia was longer(P<0.05).the CD4+index in the study group before and after anesthesia(P>0.05).Adverse reactions in both groups included abnormal blood pressure,vomiting,dizziness,short-term dyspnea,etc.The proportion of adverse reactions in the study group was lower than that in the control group(2.08%VS 12.50%),with a statistically significant difference(P<0.05).Conclusion:the application of peripheral nerve block anesthesia technology in patients with hysteroscopic surgery can improve the anesthesia effect,reduce the impact on immune indicators,and further reduce the postoperative pain of patients,which has significant clinical application value.
作者
车广德
罗周英
Che Guangde;Luo Zhouying(Department of Anesthesiology,Fourth People's Hospital of Tianshui,Tianshui Gansu 741020,China;Department of Obstetrics and Gynecology,Maiji District Yuanlong Central Health Center of Tianshui,Tianshui Gansu 741033,China)
出处
《中外女性健康研究》
2025年第7期9-12,共4页
Women's Health Research
关键词
周围神经阻滞麻醉
宫腔镜
麻醉效果
免疫功能
术后疼痛
Peripheral nerve block anesthesia
Hysteroscopy
Anesthetic effect
Immune function
Postoperative pain
