Retrospective Study of Anesthesia Recovery after Knee Arthroscopy under Spinal Anesthesia
10.3969/j.issn.1000-6710.2023.10.007
- VernacularTitle:蛛网膜下腔麻醉下行膝关节镜术后患者麻醉恢复情况回顾性研究
- Author:
Yan LIU
1
;
Xinyue GUO
;
Wenjing LIU
;
Lin FENG
;
Jing NING
;
Ying WANG
Author Information
1. 北京大学第三医院(北京 100191)
- Keywords:
spinal anesthesia;
lower extremity;
arthroscopy;
anesthesia recovery
- From:
Chinese Journal of Sports Medicine
2023;42(10):802-806
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the recovery of superficial sensation and movement of lower limbs,the first urination and exhaust of patients after knee arthroscopy under spinal anesthesia.Methods Sev-enty-two patients undergoing arthroscopic knee surgery under subarachnoid anesthesia in the Sports Medicine Department of a class-3 grade-A hospital in Beijing between May and November 2020 were selected,including 56 males and 16 females,ranging in age from 13 to 59.The recovery time of su-perficial sensation and movement,first urination and exhaust were observed and recorded respectively.Then,the correlation of the above indexes to gender,age,weight,operation duration,tourniquet time and anesthesia time was analyzed.Results The patients regained their superficial feeling and lower limbs mobility 333.40±115.04 and 263.13±84.48 min after the anesthesia,with the recovery of the lower limbs movement 100 minutes earlier than the superficial feeling.Moreover,the first urina-tion and exhaust time were 358.33±111.78 min and 354.51±130.16 min after the lumbar anesthe-sia,respectively.In addition,the superficial feeling,lower limbs mobility and first urination of the males were 352.05±115.18 min,274.55±84.77 min and 376.43±113.25 min after the anesthe-sia,significantly later than the females(268.13±90.29 min,t=2.684,P=0.009;223.13±72.36 min,t=2.205,P=0.031;295.00±81.34 min,t=2.679,P=0.009).However,no significant differences were found between different sexes in their first exhaust(P>0.05).Moreover,superficial sense and motion re-covery were not correlated with the age and weight,as well as the durationof surgery,hemostatic band application and anesthesia(P>0.05).Conclusion The motion recovery after knee arthroscopy under subarachnoid anesthesia is earlier than the superficial sensation,followed by the first urination and first exhaust.Female patients regain their superficial sensation,movement and the first urination about 4～6 hours after anesthesia,earlier than males as they do about 6～8 hours after it.
