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| Application of combined spinal-epidural anesthesia in hysteroscopic surgery |
| ZHOU Yu-feng1 LIANG Jin-ying |
1.Department of Anesthesiology,Dongguan Qishi Hospital,Guangdong Province,Dongguan 523500,China;
2.Department of Obstetrics and Gynecology,Dongguan Qishi Hospital,Guangdong Province,Dongguan 523500,China |
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Abstract Objective To explore the application of combined spinal-epidural anesthesia in hysteroscopy surgery.Methods Eighty patients who received hysteroscopic surgery in Dongguan Qishi Hospital from September 2018 to September 2019 were retrospectively analyzed.They were divided into control group(40 cases)and observation group(40 cases)according to different anesthesia regimen.The control group received intravenous general anesthesia,and the observation group received combined spinal-epidural anesthesia.Anesthesia indicators,recovery assessment,changes in signs,pain,postoperative indicators and the total incidence of complications were compared between the two anesthesia methods.Results The onset time of anesthesia and the completion time of anesthesia block in observation group were shorter than those in control group,with statistically significant differences(P<0.05).The eye opening time of call,directional force recovery time and postoperative consciousness recovery time in observation group were shorter than those in control group,with statistically significant differences(P<0.05).Before anesthesia,there were no significant differences in the physical signs(heart rate[HR],mean arterial pressure[MAP])levels between the two groups(P>0.05).After anesthesia,HR and MAP in the two groups were lower than those before anesthesia,the differences were statistically significant(P<0.05).When the surgery started,HR levels in both groups were higher than those before anesthesia,MAP levels were lower than those before anesthesia,the differences were statistically significant(P<0.05).At the same time,visual analogue scale(VAS)of pain at 10 min after waking in observation group was lower than that in the control group,the difference was statistically significant(P<0.05).In addition,the anal exhaust time,bowel sound recovery time and postoperative bed rest time in observation group were shorter than those in control group,the differences were statistically significant(P<0.05).The total incidence of complications in observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Combined spinal-epidural anesthesia is feasible and safe in the course of hysteroscopy.
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