Title: Study on clinical efficacy of combined spinal-epidural anesthesia and continuous epidural anesthesia in vaginal hysterectomy
Abstract: Objective:To compare the effects of combined spinal-epidural anesthesia(CSEA) and continuous epidural anesthesia(CEA) on the respiratory and circulatory functions in vaginal hysterectomy and to study their efficacy and safety.Methods:60 cases of ASAⅠ~Ⅱ uterine myoma were randomly divided into CSEA group and CEA group,30 cases in each group.The anesthetic block effect,initial block time and duration of operation were recorded.SBP/DBP,HR,RR,SpO2 before anesthesia and at 1,5,20,20,30 min after anesthetic injection,BMS,VAS,anesthetic effect and safety were compared between the two groups.Results:The anesthetic onset time in CSEA group was shorter than that in CEA group,while BMS score in CSEA group was more than that in CEA group with statistical difference(P0.05).RR and tidal volume had no significant difference between the two groups.SpO295%.The change of BP and HR had no statistical difference(P0.05).CSEA group was superior to CEA group in the anesthetic effects with statistical difference(P0.05).Conclusion:Compared with CEA,CSEA has fast effective onset time,defined analgesic effect and better relaxation of pelvic floor muscles.
Publication Year: 2011
Publication Date: 2011-01-01
Language: en
Type: article
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