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首页> 外文期刊>Journal of neurological sciences (Turkish) >Comparison of Spinal and General Anesthesia in Lumbar Disc Surgery
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Comparison of Spinal and General Anesthesia in Lumbar Disc Surgery

机译：腰椎间盘手术中脊柱麻醉与全身麻醉的比较

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Aim :?The purpose of this study was to compare the perioperative advantage and disadvantage between general (GA) and spinal anesthesia (SA).? Material and Methods :?Sixty patients (randomize GA,n=30, SA,n=30) undergoing lumbar disc surgery were enrolled. Patients were matched for demographic data, perioperative physiological changes, pain score, amount of blood loss, surgeon ‘satisfaction, perioperative complications and length of stay in hospital.? Results :?Intraoperatively and postoperatively, the incidence of tachycardia and hypertension were more frequent with GA (p<0.05). The surgeon's satisfaction was reported to be higher in the GA group (p<0.05). Anesthetic and operative times were longer for patients in GA group (p<0.05), in whom more nausea, vomiting, pain and greater requirements for antiemetic and pain medication were also during PACU (p 0.05), however vomiting was more frequent in GA group in this period (p<0.05).? Conclusion :?For patients undergoing lumbar disc surgery, spinal anesthesia was as safe and effective as general anesthesia. Specific advantages to spinal anesthesia include decreased antiemetic and analgesic medication and reduced overall complication rate.
机译：目的：本研究的目的是比较全麻（GA）和脊麻（SA）在围手术期的优缺点。材料与方法：纳入60例接受腰椎间盘手术的患者（随机分配GA，n = 30，SA，n = 30）。对患者进行人口统计学数据，围手术期生理变化，疼痛评分，失血量，外科医生的满意程度，围手术期并发症和住院时间的匹配。结果：术中和术后，心动过速和高血压的发生率以GA更为常见（p <0.05）。据报道，在GA组中，外科医生的满意度更高（p <0.05）。 GA组患者的麻醉和手术时间更长（p <0.05），其中在PACU期间恶心，呕吐，疼痛以及止吐药和止痛药的需求也更多（p 0.05），但是GA组患者呕吐更为频繁在此期间（p <0.05）。结论：对于腰椎间盘手术患者，脊柱麻醉与全身麻醉一样安全有效。脊柱麻醉的特殊优势包括止吐药和止痛药减少以及总体并发症发生率降低。

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