Clinical observation on two kinds of epidural anesthesia methods for vaginal total hysterectomy

VernacularTitle:两种硬膜外麻醉方法在阴式全子宫切除术中的临床观察
Author: Dianchen CHENG ; Wenwei ZHANG ; Dianwei CHENG
Publication Type:Journal Article
Keywords: Anesthesia,epidural; Two-point method; One-point method; Vaginal totalhysterectomy
From: Chinese Journal of Postgraduates of Medicine 2010;33(12):24-26
CountryChina
Language:Chinese
Abstract: Objective To compare the effect of epidural anesthesia on vaginal total hysterectomy.Methods Eighty patients with vaginal total hysterectomy were selected and randomly divided into group Ⅰ(40 cases)and groupⅡ(40 cases).The patients of group Ⅰ were punctured with two-point method to the first tube of epidural in L1-2 and to the tail tube in L3-4 The patients of group Ⅱwere punctured with one-point method to the first tube of epidural in L2-3.Observed the level of anesthesia,induction period and anesthetic effect of all patients.Results The upper bound level of anesthesia was higher in group Ⅰthan that in group Ⅱ(P＜0.05),the induction period Wag shorter in group Ⅰthan that in groupⅡ(P＜0.05).The anesthetic effect Wag better in group Ⅰ(92.5%,37/40)than that in group Ⅱ(70.0%,28/40)(P＜0.05).There were significant difference in maintain time,dose of boost and total between group Ⅰand groupⅡ(P＜0.05).Conclusion Two-point method of epidural anesthesia is better for vaginal total hysterectomy,as it can provide rapidly and completely anesthetic effects.