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目的探讨一个穿刺点向两个方向注药的硬膜外麻醉在子宫切除术中的效果观察。方法选择180例择期子宫切除术患者,随机分为2组,每组90例。对照组Ⅰ组为单纯硬膜外麻醉;观察组Ⅱ组为一个穿刺点向两个方向注药的硬膜外麻醉。结果Ⅱ组术中牵拉痛明显低于对照组,肌肉松弛度明显优于对照组(P<0.05)。两组血压改变无明显差异。结论一个穿刺点两个方向注药的硬膜外麻醉效果确切。
Objective To investigate the effect of epidural anesthesia in one direction of hysterectomy on a puncture point. Methods 180 cases of elective hysterectomy patients were randomly divided into two groups of 90 cases. The control group Ⅰ was a simple epidural anesthesia; the observation group Ⅱ was a epidural anesthesia injection of the puncture point in both directions. Results The pulling pain in group Ⅱ was significantly lower than that in control group, and the muscle relaxation was significantly better than that in control group (P <0.05). No significant difference in blood pressure changes between the two groups. Conclusions Epidural anesthesia with two directions of puncture point injection is effective.