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目的探讨基层医院通过简单的方法在不借助任何仪器设备的情况下对全身麻醉成人腰椎骨折术中脊髓功能检测的管理体会,及不增加病人成本和医院设备投入,又不会造成病人的精神负担。通过麻醉医生对各种麻醉药品和辅助药品的配伍完成。方法对成人腰椎骨折患者,不采用特殊设备在手术中通过麻醉医师对麻醉药品的掌握及合理使用对病人采取术中唤醒的方式,既要能够完成下肢功能的测定检验又不能带给病人痛苦和不良记忆,分析后得出结论。结果在没有采用特殊仪器设备的情况下仍能够通过麻醉医生的麻醉药品的掌握和配合,能够完成全身麻醉下成人腰椎骨折手术中对于脊髓功能的测定,手术后病人一般情况良好,肢体功能恢复并且没有手术中的不良记忆。结论基层医院在没有任何脊髓功能监测特殊仪器设备时,全身麻醉下成人腰椎骨折手术中,仍能够通过麻醉医生对麻醉药品的掌握及麻醉药品配合下完成对该病人术中脊髓功能经行监测,并且不产生其心理负面情绪,有利于维持良好的护患关系,保障患者疗效及生活质量。
Objective To explore the management of primary spinal cord function test in general anesthesia adult lumbar fractures by simple method in the primary hospital without any additional equipment and equipment, without increasing patient costs and hospital equipment investment, and will not cause the patient’s mental burden . By anesthesiologists on a variety of narcotic drugs and auxiliary compatibility of drugs completed. Methods For patients with lumbar fractures without using special equipment, anesthesiologists master anesthesia drugs and reasonable use of the patient during operation to awaken the patients, it is necessary to be able to complete the test of leg function test can not bring the patient’s pain and Bad memory, the analysis concluded. Results Without the use of special instruments and equipment can still anesthesiologists anesthesia master and coordination, to complete adult lumbar spine surgery under general anesthesia in the determination of spinal cord function, the patient after surgery generally good, limb function recovery and No bad memory in surgery. Conclusions In the primary hospital without spinal cord function monitoring special instruments and equipment, general anesthesia adult lumbar fracture surgery, anesthesia doctors can still grasp the narcotic drugs and anesthetic drugs to complete the operation of the patient’s spinal cord function monitoring, And does not produce their psychological negative emotions, is conducive to maintaining a good relationship between nurses and patients to protect the efficacy and quality of life of patients.