椎管内麻醉后神经并发症600例分析

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A Retrospective Analysis on the Incidence of Neurological Complications in 600 Cases of Spinal Canal Anesthesia

摘要: 目的了解椎管内麻醉后神经并发症的临床现状,提出可行的预防方案.方法对600例患者详实记录术前情况、麻醉操作过程,并进行术后随访,记录患者神经并发症发生的具体情况,对神经并发症的危险因素进行多因素回归分析.结果600例患者椎管内麻醉的神经并发症主要是暂时性神经根激惹(TNS),其发生率为18.3‰;主要危险因素是术后应用PCEA镇痛,其优势比(OR)为5.514(95%CI为1.447～%21.017%).结论硬膜外阻滞、蛛网膜下腔阻滞(腰麻)、腰硬联合阻滞可引起相关并发症,对术后应用PCEA镇痛可能导致的神经并发症应给予高度重视.
- 硬膜外阻滞 /
- 蛛网膜下腔阻滞 /
- 神经并发症 /
- 回顾性分析
Abstract: Objective To learn the current clinical status of neurological complications after spinal anesthesia and put forward feasible prevention programs.Methods We recorded detailedly the patients' characteristics and anesthesia operation,and reviewing the incidence of neurological complications in patients undertook spinal anesthesia.Multivariate regression analysis was used to analyze the risk factors of neurological complications.Results The major neurological complication of 600 patients who received spinal an...
- Eidural anesthesia /
- Sarachnoid block /
- Nurological complication /
- Rtrospective analysis