Grover B A, Rush J M, Servoss M M
Toledo Hospital, Ohio, USA.
AANA J. 1998 Feb;66(1):77-81.
The purpose of this study was to determine the accuracy of alcohol swabs in assessing dermatome levels in comparison to pinprick after subarachnoid block. Room temperature alcohol swabs and pinprick were used to determine dermatome levels at 5, 10, and 15 minutes after a 15-mg hyperbaric bupivacaine subarachnoid block was administered with the patient in the sitting position. The sample population consisted of 53 men scheduled for elective transurethral resection of the prostate or bladder tumor with an ASA classification of I to IV. Subjects were assessed while they were in the preoperative holding area for the ability to discriminate pinprick and cold sensation. Data were analyzed using the Wilcoxon signed rank test. There was a statistically significant difference between alcohol and pinprick at the 10- and 15-minute assessments. (P < .05).
本研究的目的是确定蛛网膜下腔阻滞术后，与针刺法相比酒精拭子评估皮节水平的准确性。使用室温酒精拭子和针刺法，在15毫克高压布比卡因蛛网膜下腔阻滞患者坐位给药后5、10和15分钟时确定皮节水平。样本群体包括53名计划进行择期经尿道前列腺切除术或膀胱肿瘤切除术的男性，美国麻醉医师协会（ASA）分级为I至IV级。在术前等待区对受试者辨别针刺和冷觉的能力进行评估。使用Wilcoxon符号秩检验分析数据。在10分钟和15分钟评估时，酒精拭子法和针刺法之间存在统计学显著差异（P < 0.05）。
