摘要
目的:比较腰硬联合麻醉与全凭静脉麻醉用于经皮肾镜取石术的临床效果。方法:选择62例单侧肾结石患者,随机数表法将其分为A组(腰硬联合麻醉)和B组(全凭静脉麻醉),考察两组患者血压、心率和血氧饱和度变化,不良反应发生情况及临床麻醉效果。结果:在手术过程中,A组血压、心率和血氧饱和度显著低于B组(P<0.05);手术结束时,A组血压、心率和血氧饱和度显著高于B组(P<0.05)。在麻醉效果方面,A组麻醉起效时间和苏醒时间显著低于B组(P<0.05),A组麻醉麻醉总阻滞时间显著高于B组(P<0.05);不良反应方面,A组患者苏醒延迟、心动过缓、苏醒延迟、呼吸困难、呕吐恶性不良反应发生率显著低于B组(P<0.05)。结论:PCNL采用腰硬联合麻醉可以有效地缩短临床麻醉起效及苏醒时间,同时还能降低临床不良反应发生率,可作PCNL麻醉的一种首选方式。
Objective：To compare the clinical effect of combined spinal-epidural anesthesia and total intravenous anesthesia in percutaneous nephrolithotomy.Methods：62patients with unilateral renal calculi were randomly divided into group A（combined spinal-epidural anesthesia）and group B（total intravenous anesthesia）.The changes of blood pressure,heart rate and blood oxygen saturation,adverse reactions and clinical effect of two groups were investigated.Results：During the operation,the blood pressure,heart rate and blood oxygen saturation of group A were significantly lower than those of group B（P〈0.05）.The blood pressure,heart rate and blood oxygen saturation of group A were significantly higher than those of group B（P〈0.05）at the end of surgery.In terms of anesthesia effect,the onset time and recovery time in group A were significantly lower than those in group B（P〈0.05）,and the total anesthesia block time in group A was significantly higher than that in group B（P〈0.05）.In the aspect of adverse reactions,the incidence of delayed recovery,bradycardia,delayed recovery,dyspnea and vomiting in group A were significantly lower than those in group B（P〈0.05）.Conclusion：Combined spinal-epidural anesthesia in PCNL can effectively shorten the onset and recovery time of clinical anesthesia,reduce the incidence of adverse reactions,and can be used as a preferred method of PCNL anesthesia.
出处
《数理医药学杂志》
2017年第4期485-487,共3页
Journal of Mathematical Medicine
关键词
腰硬联合麻醉
全凭静脉麻醉
经皮肾镜取石术
肾结石
combined spinal-epidural anesthesia
total intravenous anesthesia
percutaneous nephrolithotomy
renal calculi
