Pitkänen M, Rosenberg P H
Ann Chir Gynaecol. 1987;76(2):99-103.
In all, 175 young (15-40 yr) patients received either spinal anaesthesia with bupivacaine (104 patients) or general, balanced anaesthesia (71 patients) for orthopaedic surgery of the lower extremities. Each patient was interviewed before the operation, problems that arose during the operation were recorded and all patients were interviewed on the first postoperative day. One hundred and seven patients were interviewed after being discharged, 1-3 months after the operation. No major complications occurred. Two male patients experienced postdural puncture headache. Nausea (33% vs 10%), micturition difficulties (27% vs 12%), tenderness at the side of the iv-cannula (21% vs 10%) and sore throat (29% vs 0%) were more common after balanced general anaesthesia than after spinal anaesthesia. Sensory disturbances (10% vs 1%) occurred more frequently after spinal anaesthesia. All these problems had ceased at the interview 1-3 months later. Eight (six spinal and two general anaesthesia patients) were not satisfied with the method of anaesthesia used. This study revealed that an appreciable number of young patients have complications after anaesthesia, but the complications are minor and self-limited.
共有175名年轻（15 - 40岁）患者接受了下肢骨科手术，其中104例患者接受布比卡因脊髓麻醉，71例患者接受全身平衡麻醉。每位患者在手术前接受访谈，记录手术过程中出现的问题，并在术后第一天对所有患者进行访谈。107例患者在术后1 - 3个月出院后接受访谈。未发生重大并发症。两名男性患者出现了硬膜外穿刺后头痛。与脊髓麻醉相比，全身平衡麻醉后恶心（33%对10%）、排尿困难（27%对12%）、静脉插管侧压痛（21%对10%）和喉咙痛（29%对0%）更为常见。脊髓麻醉后感觉障碍（10%对1%）出现得更频繁。所有这些问题在1 - 3个月后的访谈时均已消失。8名患者（6名脊髓麻醉患者和2名全身麻醉患者）对所使用的麻醉方法不满意。这项研究表明，相当数量的年轻患者在麻醉后会出现并发症，但这些并发症很轻微且具有自限性。
