摘要
目的观察小剂量布比卡因用于高龄患者经尿道前列腺电切术(TURP)的临床效果和安全性。方法选择75岁以上拟行TURP的患者120例,随机分为腰麻-硬膜外联合麻醉组和硬膜外麻醉,每组60例。观察麻醉诱导时间、麻醉效果及麻醉后患者收缩压、舒张压、心率、动脉血氧饱和度的变化。结果腰麻-硬膜外联合麻醉组与硬膜外麻醉组比诱导时间短,局麻药用量少,麻醉效果更好,且血压下降的例数少。结论小剂量布比卡因用于高龄患者TURP,具有起效迅速、麻醉效果满意、对血流动力学影响小的优点,值得临床推广。
Objective To observe the clinical efficacy and safety of low-dose bupivacaine in the elder of transurethral resection prostate（TURP）. Methods 120 cases of patients over seventy-five years old undergoing TURP were randomly divided into two groups as the unification group and the epidural anesthesia group with 60 cases each. To observe the anesthesia induction time,anesthesia effect,the change of systolic blood pressure,diastolic blood pressure,heart rate,pulse oxygen saturation in patients after anesthesia. Results The unification group to the epidural anesthesia group had short induction time, little dosage of local anesthetic ,better anesthesia effect ,few examples of blood pressure descend. Conclusion Low-dose bupivacaine in the elder patients with TURP had the advantages of quick effect,better anesthesia effect.small influence to hemodvnamics.were worthv to spread in the clinic.
出处
《医学综述》
2009年第24期3837-3839,共3页
Medical Recapitulate
关键词
前列腺增生
经尿道前列腺电切术
麻醉
Hyperplasia of prostate gland
Transurethral resection prostate
Anesthesia
