不同麻醉方法在扁桃体切除术中的应用比较

The Value of Different Anesthetic Methods in the Tonsillectomy

摘要: 目的：探讨扁桃体手术切除手术中不同麻醉方式的应用效果。方法：69例患者分为局麻组(36例)和全麻组(33例)，局麻组以利多卡因局部浸润麻醉后行扁桃体切除，全麻组静脉复合插管麻醉后行扁桃体切除。分别对两组患者的术中及术后疼痛VAS评分，术中出血量VAS评分进行记录并比较。结果：全麻组术中疼痛VAS评分、局麻组术中疼痛VAS评分分别为0，9.4 ± 0.8；全麻组术后疼痛VAS评分、局麻组术后疼痛VAS评分分别为5.2 ± 0.4，8.9 ± 0.4。全麻组术中出血量VAS评分4 ± 0.7分，局麻组术中出血量VAS评分8±0.8分。上述各项指标比较均有统计学意义(P < 0.05)。结论：全麻对于扁桃体切除手术是最合适的选择。

Abstract: Objective: To invest the value of different anesthesia methods in the tonsillectomy. Methods: 69 patients were preformed tonsillectomy, 36 patients were preformed by local anesthesia (group of local anesthesia), 33 patients were performed by general anesthesia (group of general anesthesia). The VAS scores of intraoperative blood loss, intraoperative pain and postoperative pain were compared between two groups. Results: The VAS scores of intraoperative pain in the group of general anesthesia was 0, the VAS scores of intraoperative pain in the group of local anesthesia was 9.4 ± 0.8; the VAS scores of postoperative pain in the group of general anesthesia was 5.2 ± 0.4, the VAS scores of postoperative pain in the group of local anesthesia was 8.9 ± 0.4; the VAS scores of intraoperative blood in the group of general anesthesia was 4 ± 0.7, the VAS scores of intraoperative blood in the group of local anesthesia was 8 ± 0.8. The VAS scores of intraoperative blood loss, intraoperative pain and postoperative pain in the group of general anesthesia were significantly lower than those in the group of local anesthesia (P < 0.05). Conclusion: General anesthesia is the best anesthesia method for the tonsillectomy.