Zhang Yang, Xu Xianrong, Ma Xiaoli
The Center of Clinical Aviation Medicine, PLA, General Hospital of Air Force, Beijing, 100142, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2010 Apr;24(8):356-8.
To conclude the correlation between the alternatives of anesthesia--general and local anesthesia--and the complications of nasal endoscopic surgeries.
Summing up the occurrence rates of the complications from 176 cases (321 sides) of patients with sinusitis(some were air crew); comparing and calculating these complications according to the ways of anesthesia which were adopted in the surgeries.
The occurrence rates of the complications from nasal endoscopic surgeries were 6.9% (22/321) and rates of major complications were 1.6% (5/321). Rates of 1.9% (4/210) occurred after surgeries with local anesthesia, 16.2% (18/111) with general anesthesia, which indicated the striking differences between them (chi2 = 21.11, P < 0.01). There were no differences between the types of diseases resulted from the choice of anesthesia (Type I and Type II, Type I and Type II, Type II and Type III chi2 = 0.06, 2.56, 3.82; P > 0.05). However, the incidences of various types of complications with local anesthesia were less than those with general anesthesia, which differed significantly within two groups (P < 0.05). No cases of obvious complications occurred to air crew.
The occurrence rates of complications of endoscopic surgeries with local anesthesia are lower than that of those with general anesthesia, which is worth promoting in ground crew and sing for reference to elevate rate of resuming flight in aircrew.
总结麻醉方式（全身麻醉和局部麻醉）与鼻内镜手术并发症之间的相关性。
总结176例（321侧）鼻窦炎患者（部分为飞行人员）手术并发症的发生率；根据手术中采用的麻醉方式对这些并发症进行比较和计算。
鼻内镜手术并发症发生率为6.9%（22/321），主要并发症发生率为1.6%（5/321）。局部麻醉手术后并发症发生率为1.9%（4/210），全身麻醉后为16.2%（18/111），两者差异显著（χ2 = 21.11，P < 0.01）。麻醉方式的选择导致的疾病类型之间无差异（Ⅰ型与Ⅱ型、Ⅰ型与Ⅱ型、Ⅱ型与Ⅲ型χ2 = 0.06、2.56、3.82；P > 0.05）。然而，局部麻醉各类并发症的发生率均低于全身麻醉，两组间差异有统计学意义（P < 0.05）。飞行人员未发生明显并发症。
局部麻醉鼻内镜手术并发症发生率低于全身麻醉，值得在地面人员中推广，并为提高飞行人员复飞率提供参考。
