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目的:比较硬膜外麻醉联合闭孔神经阻滞麻醉和硬膜外麻醉联合肌松药物预防闭孔神经反射的效果,探讨预防闭孔神经反射的最佳方法。方法:回顾性分析我院临床确诊的90例浅表性膀胱肿瘤患者,分别采用硬膜外麻醉联合闭孔神经阻滞麻醉(ONB组),硬膜外麻醉联合肌松药物(SCL组)预防闭孔神经反射,比较两者一般资料和成功率,并进行统计学分析。结果:ONB组和SCL组闭孔神经阻滞成功率分别为68.8%和100%,SCL组成功率明显高于ONB组(P<0.05)。结论:硬膜外麻醉联合应用肌松剂司可林是一种预防闭孔神经反射简便安全有效的方法。
OBJECTIVE: To compare the effects of epidural anesthesia with closed-hole nerve block anesthesia and epidural anesthesia in preventing obturator nerve reflex and to explore the best way to prevent obturator nerve reflex. Methods: Ninety patients with superficial bladder tumor diagnosed in our hospital were retrospectively analyzed. Epidural anesthesia combined with closed-hole nerve block anesthesia (ONB group), epidural anesthesia combined with muscle relaxant drug (SCL group) Obturator nerve reflex, comparing the two general information and success rate, and statistical analysis. Results: The success rates of obturator nerve block in ONB group and SCL group were 68.8% and 100%, respectively. The success rate of SCL group was significantly higher than that of ONB group (P <0.05). Conclusion: Epidural anesthesia combined with muscle relaxant is a safe and effective method for prevention of obturator nerve reflex.