硬膜外麻醉

利多卡因pH及PCO2对硬膜外麻醉效果的影响

Influences of pH and PCO2 of Lidocaine on Epidural Anesthesia

硬膜外麻醉的发展与应用

The Development and Application of Epidural Anesthesia

有的母亲分娩时选择硬膜外麻醉。

Some mothers choose to have an epidural when giving birth .

pH对利多卡因硬膜外麻醉效能的影响

The Influence of pH on Epidural Block Effect of Lidocaine

硬膜外麻醉对人体血浆cAMP、β&EP的影响

Effect of epidural anesthesia on human plasma camp , β - ep levels

方法将2002年5月份在我院住院择期手术且行持续硬膜外麻醉术的胆囊切除病人80例随机分为A、B、C、D四组。

Methods 80 cases of cholecystectomy with continuous epidural anesthesia were divided randomly into four groups : A , B , C , and D.

3本试验，尾椎硬膜外麻醉与硬膜外不麻醉的妊娠率差异不显著（P0.05）。

The pregnancy rate of anaesthetic and not anaesthetic epidural cavity were not significantly different ( P0.05 ). 4 .

目的：探讨胸段硬膜外麻醉（TEA）对结肠部分切除患者胃粘膜内pH值（pHi）的影响。

Objective : To investigate the effect of thoracic epidural anesthesia ( TEA ) on the intramucosal pH ( pHi ) .

针刺复合小剂量硬膜外麻醉对淋巴细胞SCE和RNA/DNA比率的影响

Effect of Acupuncture Combined with Peridural Anesthesia on SCE and RNA / DNA of Lymphocytes

目的观察在硬膜外麻醉和全麻下腹腔镜子宫切除术中血浆肾上腺素（E）、去甲肾上腺素（NE）的变化。

Objective To investigate the changes of plasma adrenaline ( E ) and norepinephrine ( NE ) during laparoscopic hysterectomy under epidural and general anesthesia .

目的比较四种不同药物配方用于下腹部或下肢手术硬膜外麻醉中病人自控镇静（PCS）的临床效果。

Objective To evaluate the effect of different drugs used for patient controlled sedation ( PCS ) during epidural anesthesia .

方法60例ASAⅠ～Ⅱ级硬膜外麻醉下兰尾炎手术病人随机分为两间隙麻醉（A组）和一间隙麻醉（B组）两组，每组30例。

Methods 60 patients undergoing appendicitis operation randomly divided into two space group ( A ) and one space group ( B ) with 30 cases each .

结论：外科创伤可导致明显的PMN凋亡抑制，而bcl-2基因表达上调可能是创伤后PMN凋亡抑制的分子机制之一，硬膜外麻醉对PMN凋亡及bcl-2基因表达影响不大。

While surgical injury is able to cause a significant inhibition of neutrophil apoptosis by increasing expression of bcl 2 gene .

目的：观察麻醉开始时输注多聚明胶肽在剖宫产腰麻联合硬膜外麻醉（combinedepiduralandspinalanesthesia，CESA）中预防低血压等不良反应的效果。

Objective : To observe the effect of polygeline in preventing hypotension and other side effects during combined epidural and spinal anesthesia ( CESA ) in cesarean section .

硬膜外麻醉联合前列腺素E1用于早期Buerger病的疗效观察妊娠期并发Buerger病

The curative effect in 1 、 2 stage of the buerger 's disease by epidural anesthesia combined with prostaglandin e_1

主要的麻醉方法包括鞍麻、连续硬膜外麻醉、脊硬联合麻醉（CSEA）、静脉麻醉。

The main anesthetic methods included spinal anesthesia 、 epidural anesthesia 、 CSEA and intravenous anesthesia .

方法30例妇科下腹部手术患者，以麻醉方法不同随机分为腰麻组（S组）、硬膜外麻醉组（E组）、全身麻醉组（G组），每组10例。

Mothods Thirty patients undergoing elective gynaecological surgery were randomly allocated into different groups according to anesthesia namely spinal ( group S ), epidural ( group E ), general ( group G ) with 10 cases each .

方法38例择期行髋关节手术的患者，采用连续硬膜外麻醉，输复方氯化钠溶液5ml／（kg·h）。

Methods 38 patients needed on hip joint were selected and treated with continuous peridural anesthesia and compound injection of sodium chloride ( 5ml / kg / h ) .

结果：对照组于硬膜外麻醉后5min血浆心钠素（ANP）和降钙素基因相关肽（CGRP）均有较大幅度的升高，以ANP更为显著；

Results : Both ANP and CGRP were greatly increased 5 min after epidural anesthesia in the control group , especially the ANP .

方法低位硬膜外麻醉下，联合使用环状电极、滚筒状电极以及铲状电极对83例BPH行经尿道汽化结合电切术。

Methods Under low position continuous epidural anesthesia , 83 cases of BPH were treated by transurethral vaporization and resection with Stabilized loop , roller-shape and spade electrodes .

方法LC患者50例，随机分为异丙酚芬太尼静脉全麻组（Ⅰ组）25例和硬膜外麻醉组（Ⅱ组）25例。

Methods 50 LC patients were divided into two groups randomly : 25 patients in the Propofol-Fentanyl intravenous anesthesia group ( group ⅰ) and the rest in the epidural anesthesia group ( group ⅱ) .

目的：观察硬膜外麻醉下行微创经皮肾穿刺气压弹道碎石术（PCNL）不同时点静注辅助用药的麻醉效果及安全性。

Objective : To observed the effect and safety of intravenous assistant in minimally invasive percutaneous nephrolithotomy ( PCNL ) .

方法我们选用ASAⅠ~Ⅱ级的气压弹道碎石术的病人120例，随机分为两组，A组选L2,3或L3,4行硬膜外麻醉，B组丙泊酚-芬太尼全身麻醉方法。

Methods 120 cases of ASA ⅰ~ⅱ such patient were divided into two groups . Group A was underwent at L2,3 or L3,4 epidural anesthesia .

目的：观察硬膜外麻醉联合前列腺素E1用于早期Buerger病的治疗效果。

Objective : To investigate the curative effect at stage 1,2 of the Buerger 's disease of epidural anesthesia combined with prostaglandin E1 ( PGE1 ) .

结论耳针联合硬膜外麻醉，可以抑制RAAS的应激反应，改善硬膜外麻醉质量。

Conclusion The combined auricular acupuncture with epidural anesthesia could inhibit the stress response of RAAS and improve safely the epidural anesthesia quality during cesarean section .

新生儿Apgar评分，EA组显著高于GA组，P<0.05。结论硬膜外麻醉对剖宫产术新生儿的影响显著小于全身麻醉。

Neonate 's Apgar score was significantly higher in group EA than that in group GA , P < 0.05 . Conclusion The effects of epidural anesthesia on neonates in cesarean is markedly lesser than general anesthesia .

选择ASAⅠ～Ⅱ级硬膜外麻醉下，行妇科乙类手术36例，患者无胃肠、肝、胆疾病。随机分为3组。

Cases who were performed gynecologic class B operation under ASA I ~ⅱ grade peridural anesthesia and did not have diseases of the stomach , intestine , liver and gallblader , were randomly divided into 3 groups .

目的：观察连续硬膜外麻醉下行腹腔镜手术中，气腹前和气腹后20min患者呼吸频率及血气变化。

Objective : To investigate the changes of respiratory rate and blood gas before aeroperitonia and 20 minutes after aeroperitonia in laparoscopic operation with epidural anesthesia .

结论肝癌切除术患者在硬膜外麻醉复合全身麻醉下，术前采用万汶15ml·kg-1行AHH，通过有效地维持血液动力学稳定，提高了患者对术中失血的耐受性。

Conclusion AHH with HES 15 ml · kg-1 can increase the patient 's tolerance to blood loss during resection of liver cancer performed under general anesthesia combined with epidural block .

目的观察硬膜外麻醉下，肾移植术中异丙酚患者自控镇静（PCS）时的心率、血压、中心静脉压，血栓素A2（TXA2）和前列环素（PGI2）的变化，探讨患者内环境的改变。

Objective To investigate the effect of patient-controlled sedation ( PCS ) with propofol on the levels of HR , SBP , DBP , CVP , TXA_2 and PGI_2 in renal transplantation patients under epidural anesthesia .