SURVEY OF THE USE OF EPIDURAL ANALGESIA IN CHINA
作者机构：Department of Anesthesiology First Teaching Hospital Beijing Medical University Beijing 100034
出 版 物：《中华医学杂志(英文版)》 (Chinese Medical Journal)
年 卷 期：1991年第104卷第6期
页 面：510-515页
核心收录：
摘 要：It is generally beileved that epidural blocks are most widely used in China. However, there is yet no substantial study in this respect. A nation-wide survey appears to be necessary. Questionaires were sent to 237 hospitals located in 6 geographically wide-scattered areas and to some military hospitals as well. 90 answers were obtained with complete data necessary for this survey. There are 1 304 214 administrations of epidural blocks documented in these 90 hospitals. Of which 38.8% are lumbar, 32% lower thoracic, 23% middle thoracic, 4.6% upper thoracic and 1.6% cervical blocks. These data showed that operations from the neck down to the lower extremities were performed under epidural block without discrimination of puncture location. 98.33% of the blocks were satisfactory to meet the need of operations. Persisting paresthesia occurred in 0.013% of these cases. The incidence of accidental puncture of dura was 0.32%. About 2/3 of these dura punctured cases received 1-4 times of repuneture. No correlation was found between repuncture and development of total spinal anesthesia. Among the complications, incidence of respiratory depression was 0.54%. However, only 5% of these depressed cases needed intubation and artificial ventilation. No signs of dura puncture were noticed, but subarrachnoid block did appear in 0.04 of cases, Incidenee of total spinal anesthesia was 0.013%. Not all, but a little more than half (54.6%) of the total spinal cases needed intubation and artificial ventilation. Incidence of paraplegia was 0.001% and 2 out of 3 of these cases were recovered. The anesthetic mortality rate was 0.0012%. Respiratory depression was the major cause of death. It is concluded from this study that epidural block is widely used in China due to its satisfactory anesthetic effect, less complication and lower morbidity and mortality.
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